亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Easy Standardized Technique for Dissection of the Anterior Leaf of the Vesicouterine Ligament

医学 韧带 解剖(医学) 解剖 输尿管 髂外静脉 淋巴结切除术 静脉 髂内动脉 子宫动脉 外科 淋巴结 生物 怀孕 病理 遗传学 妊娠期
作者
Kenro Chikazawa,Ken Imai,Tomoyuki Kuwata,Ryo Konno
出处
期刊:Gynecology and Minimally Invasive Therapy [Medknow]
卷期号:13 (3): 198-199
标识
DOI:10.4103/gmit.gmit_154_23
摘要

OBJECTIVE Standardizing surgical techniques is difficult. However, achieving standardization, maintaining the adequacy of radical procedures, and adhering to the principles of oncologic concepts are crucial in treating cervical cancer and obtaining high survival rates.[1-3] Dissecting the anterior leaf of the vesicouterine ligament is notably difficult and hemorrhage-prone; thus, skeletonizing the uterine artery and vesicouterine ligament is emphasized.[4] The anterior leaf of the vesicouterine ligament receives branches from the uterine artery and the superior vesical vein; these branches ultimately drain into the superficial uterine vein [Figure 1].[5,6] The arteries, veins, lymphatics, and nerves form a net-like arrangement around the ureter. To dissect the anterior leaf of the vesicouterine ligament, it is useful to suspend the umbilical artery. In addition, a precise and complete lymphadenectomy should be performed on the lateral iliac, internal iliac, and cardinal ligament lymph nodes. The central and lateral sides of the ureter are located farther from the vesicouterine ligament, thereby creating some distance between the ureter and potential sources of hemorrhage (primarily lymph and vesical vein). Dissecting lymph nodes facilitates the identification of anatomical structures around the ureter, thus simplifying hemostasis.[7]Figure 1: The anterior leaf of the vesicouterine ligament is supplied by the uterine artery and superior vesical vein, draining into the superficial uterine vein. Precision in lymphadenectomy is vital for ligament dissection, reducing hemorrhage risk. Lymph node dissection allows the identification of ureteral anatomical structures, simplifying hemostasis http://www.apagemit.com/page/video/show.aspx?num=315&kind=2&page=1DESIGN A step-by-step explanation of the procedure with surgical video footage [Video]. PATIENT A Japanese female patient diagnosed with early-stage cervical cancer. INTERVENTIONS The standardized procedure was as follows: Lymph nodes were dissected starting from the internal iliac artery and subsequently from the internal iliac vein The internal iliac nodes run along the hypogastric nerves, which innervate the rectum, uterus, and bladder. The lymph nodes were dissected from the hypogastric nerve/ureterohypogastric fascia and branches of the hypogastric nerves up to the rectum The umbilical artery was suspended; however, the uterine artery was not resected. This suspension caused traction between the ureter and uterine artery, as well as between the ureter and superior vesical artery. This technique helps surgeons to easily dissect the ureter branch Subsequently, the cardinal ligament lymph nodes and connective tissue between the uterine artery and superior vesical artery were dissected Direct resection of the cervicovesical vessels is considered dangerous and is, therefore, not performed. Before resecting these vessels, the bladder was further dissected toward the medial side of the cervicovesical vessels. It is crucial to dissect the loose connective tissue from both sides of these vessels. RESULTS This easy, safe, and standardized technique enabled the successful dissection of the anterior vesicouterine ligament. CONCLUSION We presented our standardized method for resecting the anterior leaf of the vesicouterine ligament. This video can guide gynecologists in performing radical hysterectomies. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. The study was approved by The Institutional Review Board (approval No.S23-107). Author contributions Kenro Chikazawa: Conceptualization, Methodology, Original draft preparation. Ken Imai: Data curation, Visualization, Conceptualization. Tomoyuki Kuwata: Supervision. Ryo Konno: Writing- Reviewing and Editing. Data availability statement Data sharing not applicable to this article as no datasets were generated or analyzed during the current study. Financial support and sponsorship Nil. Conflicts of interest K. Chikazawa received lecture honoraria from Ethicon (Tokyo, Japan), Terumo (Tokyo, Japan), and Chugai Pharmaceutical Co. (Tokyo, Japan). K. Imai received lecture honoraria from AstraZeneca (Tokyo, Japan). R. Konno received research funds from Yakult Pharmaceutical Industry Co. (Tokyo, Japan) and Chugai Pharmaceutical Co. (Tokyo, Japan) and lecture honoraria from Japan Vaccine Co. (Tokyo, Japan), MSD Japan (Tokyo, Japan), and Chugai Pharmaceutical Co. (Tokyo, Japan). The funding organizations did not contribute to the design or outcome of the study. The remaining authors declare that they have no conflicts of interest.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
卑微学术人完成签到 ,获得积分10
11秒前
19秒前
无花果应助feifei采纳,获得10
33秒前
griffon完成签到,获得积分10
42秒前
汉堡包应助通通采纳,获得10
44秒前
55秒前
Huay完成签到 ,获得积分10
58秒前
tingting9发布了新的文献求助10
58秒前
英俊的铭应助科研通管家采纳,获得10
1分钟前
1分钟前
kd1412应助科研通管家采纳,获得10
1分钟前
善学以致用应助吴昕昕采纳,获得10
1分钟前
tingting9完成签到,获得积分10
1分钟前
吾日三省吾身完成签到,获得积分10
1分钟前
sola完成签到 ,获得积分10
1分钟前
DreamMaker完成签到 ,获得积分10
1分钟前
VVV完成签到,获得积分10
1分钟前
1分钟前
1分钟前
_ban发布了新的文献求助10
1分钟前
小黄鸭完成签到,获得积分10
1分钟前
滴滴哒发布了新的文献求助10
1分钟前
李李原上草完成签到 ,获得积分10
2分钟前
超级的千青完成签到 ,获得积分10
2分钟前
2分钟前
Bio应助又来注水了采纳,获得30
2分钟前
万能图书馆应助爹爹采纳,获得10
2分钟前
layman完成签到,获得积分10
2分钟前
郭郭完成签到 ,获得积分10
2分钟前
FL完成签到 ,获得积分10
2分钟前
科研通AI5应助sljzhangbiao11采纳,获得10
2分钟前
又来注水了完成签到,获得积分10
2分钟前
快乐海豚完成签到 ,获得积分10
2分钟前
科研通AI5应助科研通管家采纳,获得10
3分钟前
科研狗的春天完成签到 ,获得积分10
3分钟前
Lucas应助董可以采纳,获得10
3分钟前
3分钟前
Aqib发布了新的文献求助10
3分钟前
3分钟前
科研通AI5应助西瓜嘻嘻嘻采纳,获得10
3分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990020
求助须知:如何正确求助?哪些是违规求助? 3532077
关于积分的说明 11256276
捐赠科研通 3270943
什么是DOI,文献DOI怎么找? 1805139
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809228