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

Yıl 2020, Cilt: 21 Sayı: 3, 17 - 20, 24.08.2020

Alpaslan Kaban Celal Akdemir Fatma Ferda Verit Işık Kaban

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

• 1. Lewin SN. Revised FIGO staging system for endometrial cancer. Clin Obstet Gynecol. 2011;54(2):215–8. 2. Kumar S, Podratz KC, Bakkum-Gamez JN, Dowdy SC, Weaver AL, McGree ME, et al. Prospective assessment of the prevalence of pelvic, paraaortic and high paraaortic lymph node metastasis in endometrial cancer. Gynecol Oncol. 2014;132(1):38–43. 3. Colombo N, Creutzberg C, Amant F, Bosse T, González-Martín A, Ledermann J, et al. ESMO-ESGO-ESTRO Consensus Conference on Endometrial Cancer: Diagnosis, Treatment and Follow-up. Int J Gynecol Cancer. 2016;26(1):2–30. 4. Reed MD, Friedman AC, Nealey P. Anomalies of the left renal vein: Analysis of 433 CT scans. J Comput Assist Tomogr. 1982;6(6):1124–6. 5. Resorlu M, Sariyildirim A, Resorlu B, Sancak EB, Uysal F, Adam G, et al. Association of congenital left renal vein anomalies and unexplained hematuria: Multidetector computed tomography findings. Urol Int. 2015;94(2):177–80. 6. Martínez-León JI, Doménech-Pérez C, Martínez-León J, Martínez-Castillo C, Martínez-Almagro A. Left renal vein anatomical anomalies: Radiological and surgical implications. Phlebology. 1998;13(4):166–70. 7. Yeşildağ A, Adanir E, Köroğlu M, Baykal B, Oyar O, Gülsoy UK. [Incidence of left renal vein anomalies in routine abdominal CT scans]. Tani Girisim Radyol. 2004;10(2):140–3. 8. Batur A, Serdar K, Alpaslan Y, Bora A. Rutin Abdominal BT Tetkiklerinde Sol Renal Ven Anomalilerinin Görülme Sıklığı. Van Tıp Derg. 2015;22(3):185–7. 9. Ward KK, McHale MT. Uterine Corpus Cancers. In: Eskander RN, Bristow RE, editors. Gynecologic Oncology [Internet]. Springer New York Heidelberg Dordrecht London: Springer; 2015. p. 137. Available from: www.springer.com10. McMeekin DS. Corpus: Epithelial Tumors. In: Barakat RR, Berchuck A, Markman M, Randall ME, editors. Prıncıples and Practıce of Gynecologıc Oncology [Internet]. 6th ed. Philadelphia, PA 19103, USA: LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS; 2013. p. 666. Available from: LWW.com11. National Comprehensive Cancer Network (NCCN). NCCN Guidline Version 1.2016 Uterin Neoplasms. NCCN. 2016;7.