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Surgical technique
Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations
Article first published online: 21 OCT 2011
DOI: 10.1111/j.1471-0528.2011.03171.x
© 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG
Issue
BJOG: An International Journal of Obstetrics & Gynaecology
Special Issue: Gynaecological oncology
Volume 119, Issue 2, pages 249–253, January 2012
Additional Information
How to Cite
Pomel, C., Naik, R., Martinez, A., Ferron, G., Nassif, J., Dauplat, J. and Jeyarajah, A. (2012), Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations. BJOG: An International Journal of Obstetrics & Gynaecology, 119: 249–253. doi: 10.1111/j.1471-0528.2011.03171.x
Publication History
- Issue published online: 13 DEC 2011
- Article first published online: 21 OCT 2011
- Accepted 28 August 2011. Published Online 21 October 2011.
Keywords:
- Classification;
- lymphadenectomy;
- para aortic;
- surgical technique;
- vascular anomalies
Please cite this paper as: Pomel C, Naik R, Martinez A, Ferron G, Nassif J, Dauplat J, Jeyarajah A. Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations. BJOG 2012;119:249–253.
The clinical indications for a complete para-aortic lymphadenectomy in the surgical management of gynaecological malignancies remain controversial. The debate on complete para-aortic node dissection is hindered by the absence of an identifiable and accepted definition for the procedure of systematic (complete) para-aortic node dissection. In this paper we propose a classification of para-aortic lymphadenectomy. We have identified and imaged the most common and rare para-aortic vascular anomalies that we have encountered. An understanding of the anatomical anomalies in this area also provides a useful reference for the surgical technique that is adopted in order to ensure the completeness of excision.