Anatomy for abdominal lymph node dissection

  • 塩田 真己
    九州大学大学院 医学研究院 泌尿器科学分野
  • 松元 崇
    九州大学大学院 医学研究院 泌尿器科学分野
  • 種子島 時祥
    九州大学大学院 医学研究院 泌尿器科学分野
  • 塚原 茂大
    九州大学大学院 医学研究院 泌尿器科学分野
  • 牟田口 淳
    九州大学大学院 医学研究院 泌尿器科学分野
  • 後藤 駿介
    九州大学大学院 医学研究院 泌尿器科学分野
  • 小林 聡
    九州大学大学院 医学研究院 泌尿器科学分野
  • 江藤 正俊
    九州大学大学院 医学研究院 泌尿器科学分野

Bibliographic Information

Other Title
  • 腹部リンパ節郭清に必要な解剖

Description

<p>  Vertebrates have a system circulating body fluids that consists from lymphatic system and cardiovascular system. The lymphatic system transports lymph fluid from peripheral tissues to the central vena cava. In addition to proteins and tissue metabolites, lymph fluid contains immune cells represented by lymphocytes, and plays an important role in infection defense and cancer immunity. Cancer cells mainly metastasize via vascular and lymphatic systems. In lymphatic metastasis, cancer cells spread from the primary tumor to the lymph nodes along the lymphatic vessels. Then, lymph node dissection is recommended for the diagnosis of lymph node metastasis and for therapeutic intent in some cancers. Lymph node dissection in the abdomen is performed for adrenal cancer, renal cell carcinoma, upper tract urothelial carcinoma, and testicular cancer. However, lymph node dissection can cause complications by damaging the lymphatic vessels, such as lymphedema due to retention of lymph fluid, lymph fistula due to overflow of lymph fluid, and lymph cysts, as well as complications by damaging the arteriovenous vessels and surrounding nerves. Therefore, abdominal lymph node dissection in the management of urologic cancer requires a thorough understanding of the local anatomy of the lymphatic vessels and their surrounding vascular, nerve, and membrane structures. This article outlines the knowledge required for abdominal lymph node dissection, focusing on anatomy.</p>

Journal

Details 詳細情報について

  • CRID
    1390867654670197248
  • DOI
    10.11302/jserjje.38.1_76
  • ISSN
    2436875X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Allowed

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