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Contribution of the cadaveric recirculation system in the anatomical study of lymphatic drainage of the ovary: applications in the management of ovarian cancer.
Murris, Floriane; Weyl, Ariane; Ouldamer, Lobna; Lorenzini, Jérôme; Delvallee, Julie; Martinez, Alejandra; Ferron, Gwenael; Chollet, Charlotte; De Barros, Amaury; Chantalat, Elodie.
Afiliación
  • Murris F; Département de chirurgie gynécologique, Chu Bretonneau Tours, Tours, 37000, France. floriane.murris@orange.fr.
  • Weyl A; Département de chirurgie gynécologique chu Rangueil Toulouse et laboratoire d'anatomie chu Rangueil Toulouse, Toulouse, 31000, France.
  • Ouldamer L; Département de chirurgie gynécologique, Chu Bretonneau Tours, Tours, 37000, France.
  • Lorenzini J; Oréliance, Saran, 45770, France.
  • Delvallee J; Département de chirurgie gynécologique, Chu Bretonneau Tours, Tours, 37000, France.
  • Martinez A; Département de chirurgie gynécologique, IUCT Oncopole, Toulouse, 31000, France.
  • Ferron G; Département de chirurgie gynécologique, IUCT Oncopole, Toulouse, 31000, France.
  • Chollet C; Département de chirurgie gynécologique, IUCT Oncopole, Toulouse, 31000, France.
  • De Barros A; Département de neurochirurgie chu Pierre Paul Riquet Toulouse et laboratoire d'anatomie chu Toulouse, Toulouse, 31000, France.
  • Chantalat E; Département de chirurgie gynécologique chu Rangueil Toulouse et laboratoire d'anatomie chu Rangueil Toulouse, Toulouse, 31000, France.
Surg Radiol Anat ; 46(8): 1155-1164, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38900203
ABSTRACT

PURPOSE:

The present knowledge about lymphatic drainage of the ovary is based on carcinological studies, but it has only rarely been studied under physiological conditions. However, it is one of the preferential routes of dissemination in ovarian cancer, and understanding it is therefore vital for optimal carcinological management.Our purpose was to evaluate the feasibility of an innovative technique to study the lymphatic drainage territories of the ovary using a recirculation module on the cadaveric model.

METHODS:

We injected patent blue into the cortex of twenty "revascularised" cadaver ovaries with the Simlife recirculation model. We observed the migration of the dye live and described the drainage territories of each ovary.

RESULTS:

We observed a staining of the lymphatic vessels and migration of the dye in all the subjects, systematically ipsilateral to the injected ovary. We identified a staining of the lumbo-aortic territory in 65% of cases, with a preferential lateral-caval involvement (60%) for the right ovary and lateral-aortic territory (40%) for the left ovary. A common iliac involvement was observed in only 10% of cases. In 57% of cases, the staining of the lumbo-aortic territory was associated with a staining of the suspensory ligament. The pelvic territory was involved in 50% of cases, with an external iliac staining in 25% of cases and internal in 20%.

CONCLUSION:

Our study provides for a better understanding of lymphatic drainage of the ovary using a new detection method, and allows the possibility of improving the teaching for operators with a realistic model. Continuation of this work could lead to considering more targeted and thus less morbid lymph node sampling for lymph node staging in early-stage ovarian cancer.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Ovario / Colorantes de Rosanilina / Cadáver / Vasos Linfáticos Límite: Female / Humans Idioma: En Revista: Surg Radiol Anat Asunto de la revista: ANATOMIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Ovario / Colorantes de Rosanilina / Cadáver / Vasos Linfáticos Límite: Female / Humans Idioma: En Revista: Surg Radiol Anat Asunto de la revista: ANATOMIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania