Retroaortic localized left renal vein anomaly detected during paraaortic lymphadenectomy: a case report

Öz

Excision of the lymph nodes of the relevant organ is a general procedure in cancer surgery. In endometrial cancer surgery, it is recommended to excise lymphatic tissues around the aorta and vena cava up to the left renal vein level in a certain group of patients. In this procedure, which requires advanced experience, complications such as major vascular injury, bleeding, prolonged operation time, and organ injuries can be seen. Also, an anomaly detected in this region during surgery can complicate surgical management. In this case report, surgical management of an endometrium cancer patient with retroaortic localized left renal vein anomaly, which was noticed during paraaortic lymphadenectomy, was discussed.

Anahtar Kelimeler

• endometrial cancer,paraaortic lymphadenectomy,renal vein anomaly

Paraaortik lenfadenektomi sırasında saptanan retroaortik yerleşimli sol renal ven anomalisi: Olgu sunumu

Öz

Kanser cerrahisinde ilgili organın lenfatik drenajının toplandığı lenf nodlarının eksizyonu genel bir prosedürdür. Endometrium kanseri cerrahisinde de belirli bir grup hastada paraaortik lenfadenektomi adı altında sol renal ven seviyesine kadar aort ve vena kava inferior etrafındaki lenfatik dokuların eksize edilmesi önerilir. İleri düzey deneyim gerektiren bu prosedürde, büyük damar yaralanması, kanama, ameliyat süresinin uzaması, komşu organ yaralanması gibi komplikasyonlar görülebilmektedir. Ayrıca bu bölgedeki, ameliyat sırasında farkedilen bir anomali  cerrahi yönetimi komplike edebilmektedir. Bu olgu sunumunda paraaortik lenfadenektomi esnasında farkedilen, retroaortik yerleşimli sol renal ven anomalisi olan endometrium kanserli bir hastanın cerrahi yönetimi tartışılmıştır.

Anahtar Kelimeler

• endometrium kanseri,paraaortik lenfadenektomi,renal ven anomalisi

Kaynakça

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