کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3870057 1598985 2008 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Venous Resection in Urological Surgery
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
پیش نمایش صفحه اول مقاله
Venous Resection in Urological Surgery
چکیده انگلیسی

PurposeComplete removal of retroperitoneal and pelvic tumors may require resection or ligation of major retroperitoneal, pelvic and mesenteric venous structures. We provide an overview of venous anatomy and collateral drainage, and review the veins that can be safely resected.Materials and MethodsWe reviewed major anatomical texts, and performed a directed MEDLINE® literature search of retroperitoneal, pelvic and mesenteric venous anatomy. Resection and reconstruction of these vessels were also reviewed with an emphasis on collateral blood flow and post-resection sequelae.ResultsThe infrarenal inferior vena cava, iliac veins, left renal vein, lumbar veins, inferior mesenteric vein and splenic vein may be resected or ligated without reconstruction. Resection of the right renal vein results in renal demise in the majority of instances. The portal vein may not be resected without reconstruction. Venous reconstruction may be performed with autologous or synthetic graft material.ConclusionsMost major veins in the body can be safely resected or ligated with minimal sequelae. However, it is imperative to understand venous anatomy and collateral blood flow to minimize intraoperative and postoperative complications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Urology - Volume 180, Issue 6, December 2008, Pages 2338–2342
نویسندگان
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