| Venous resection in urological surgery. | |
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MedLine Citation:
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PMID: 18930288 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Complete 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 METHODS: We 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. RESULTS: The 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. CONCLUSIONS: Most 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. |
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Authors:
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Brian Duty; Siamak Daneshmand |
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Publication Detail:
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Type: Journal Article; Review Date: 2008-10-18 |
Journal Detail:
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Title: The Journal of urology Volume: 180 ISSN: 1527-3792 ISO Abbreviation: J. Urol. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-13 Completed Date: 2008-12-03 Revised Date: 2009-07-31 |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: United States |
Other Details:
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Languages: eng Pagination: 2338-42; discussion 2342 Citation Subset: AIM; IM |
Affiliation:
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Division of Urology and Renal Transplantation, Section of Urologic Oncology, Oregon Health & Science University, Portland, Oregon 97239, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Humans Iliac Vein / anatomy & histology, surgery Renal Veins / anatomy & histology, surgery Urinary Tract / anatomy & histology*, surgery* Vena Cava, Inferior / anatomy & histology, surgery |
| Comments/Corrections | |
Comment In:
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Eur Urol. 2009 Apr;55(4):994
[PMID:
19650238
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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