000K  utf8
1100  $c2021
1500  eng
2050  urn:nbn:de:gbv:8:3-2021-00352-9
2051  10.3390/jcm10040708
3000  Bayer, Andreas
3010  Alkatout, Ibrahim
3010  Heinze, Tillmann
3010  Osmonov, Daniar
3010  Stelzner, Sigmar
3010  Wedel, Thilo
4000  Embryological Development and Topographic Anatomy of Pelvic Compartments-Surgical Relevance for Pelvic Lymphonodectomy  [Bayer, Andreas]
4209  Background The oncological outcome of surgery for the treatment of pelvic malignancies can be improved by performing pelvic lymphonodectomy. However, the extent and regions of lymph node harvest are debated and require profound knowledge of anatomy in order to avoid collateral damage. Methods The embryological development and topographic anatomy of pelvic compartments in relation to pelvic lymphonodectomy for rectal, uterine, and prostate cancer are reviewed. Based on pre-dissected anatomical specimens, lymph node regions and drainage routes of the posterior and urogenital pelvic compartments are described in both genders. Anatomical landmarks are highlighted to identify structures at risk of injury during pelvic lymphonodectomy. Results The ontogenesis of urogenital and anorectal compartments and their lymphatic supply are key factors for adequate lymphonodectomy, and have led to compartment-based surgical resection strategies. However, pelvic lymphonodectomy bears the risk of injury to somatic and autonomic nerves, vessels, and organs, depending on the regions and extent of surgery. Conclusion Embryologically defined, compartment-based resection of pelvic malignancies and their lymphatic drainage routes are based on clearly delineated anatomical landmarks, which permit template-oriented pelvic lymphonodectomy. Comprehensive knowledge of pelvic anatomy, the exchange of surgical concepts between specialties, and minimally invasive techniques will optimize pelvic lymphonodectomy and reduce complications.
4950  https://doi.org/10.3390/jcm10040708$xR$3Volltext$534
4950  https://nbn-resolving.org/urn:nbn:de:gbv:8:3-2021-00352-9$xR$3Volltext$534
4961  https://macau.uni-kiel.de/receive/macau_mods_00001195
5051  610
5550  Autonomic Pelvic Nerves
5550  Embryologic Development
5550  Oncologic Surgery
5550  Pelvic Compartments
5550  Pelvic Lymphonodectomy
5550  prostate cancer
5550  Rectal cancer
5550  Topographic Anatomy
5550  Uterine Cancer