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Three-Dimensional Imaging-Guided Safe Para-Aortic Lymph Node Dissection Using the Inferior Mesenteric Artery as an
Daiki Idegami1, Yutaka Yoneoka1, Atsushi Murakami1
1Department of Obstetrics and Gynecology, Shiga University of Medical Science, Otsu, Japan.
Preoperative 3D imaging precisely identified complex renal artery variations in a patient with endometrial cancer. This allowed surgeons to safely preserve these arteries during para-aortic lymph node dissection, enhancing oncologic surgical safety.
Area of Science:
- Gynecologic Oncology
- Vascular Anatomy
- Medical Imaging
Background:
- Para-aortic lymph node dissection in gynecologic oncology typically extends to the left renal vein.
- Renal artery anatomy can vary, with arteries sometimes located within the standard dissection area.
- This anatomical variation poses a risk during retroperitoneal surgery.
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