The internal anatomy of the inferior vena cava with specific emphasis on the entrance of the renal, gonadal and lumbar veins

被引:4
作者
Bubb, Kathleen [1 ]
du Plessis, Maira [1 ]
Hage, Robert [1 ]
Tubbs, R. Shane [1 ,2 ]
Loukas, Marios [1 ]
机构
[1] St Georges Univ, Sch Med, Dept Anat Sci, St Georges, Grenada
[2] Childrens Hosp Alabama, Pediat Neurosurg, Lowder 400,1600 7th Ave South, Birmingham, AL 35233 USA
关键词
Retroperitoneal veins; Nephrectomy; Inferior vena cava; Lumbar veins; Venous valves; Ostial valves; SURGICAL ANATOMY; CASE SERIES;
D O I
10.1007/s00276-015-1527-3
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
Major tributaries such as the renal and adrenal veins have been studied extensively; however, tributaries of the infra-renal segment of the inferior vena cava (IVC) have not been given much attention. Accurate knowledge of the anatomy of these veins is necessary for improved efficacy of surgical interventions in the retroperitoneum. The aim of this study therefore was to provide a comprehensive picture of the internal anatomy of the tributaries of the infra-renal segment of the IVC. Dissection of the posterior abdominal wall was performed on 30 formalin-fixed cadavers. Endoscopic study was carried out followed by a midline venotomy on the anterior wall of the isolated IVC, the location and orientation of its tributaries and their ostia were observed and measurements taken. The results showed that while there was great variation in the drainage pattern of the lumbar veins, most lumbar veins had ostia located between L2 and L3 vertebrae irrespective of the location of renal and gonadal tributaries. Valves were found in 81.81 % of gonadal veins, in 56.60 % of all lumbar veins and discrete ostial valves in 14.81 % of renal veins. The location of the tributaries of the IVC was correlated with the vertebral levels. Empirical data regarding their ostio-valvular complexes were established, which put into question widely accepted concept of valveless tributaries. Our results may implicate surgical procedures in and around the retroperitoneal region.
引用
收藏
页码:107 / 114
页数:8
相关论文
共 33 条
[1]   Posterior Lumbar Vein Off the Retrohepatic Inferior Vena Cava: A Novel Anatomical Variant With Surgical Implications [J].
Abbasi, Ammara ;
Johnson, Timothy V. ;
Kleris, Renee ;
Ying, Kai ;
Bonner, Michael Y. ;
Maithel, Shishir K. ;
Kooby, David A. ;
Marshall, Fray F. ;
Master, Viraj A. .
JOURNAL OF UROLOGY, 2012, 187 (01) :296-301
[2]   Left-Sided and Duplicate Inferior Vena Cava: A Case Series and Review [J].
Ang, Wee Choen ;
Doyle, Terry ;
Stringer, Mark D. .
CLINICAL ANATOMY, 2013, 26 (08) :990-1001
[3]   Angio CT assessment of anatomical variants in renal vasculature: Its importance in the living donor [J].
Arévalo Pérez J. ;
Gragera Torres F. ;
Marín Toribio A. ;
Koren Fernández L. ;
Hayoun C. ;
Daimiel Naranjo I. .
Insights into Imaging, 2013, 4 (2) :199-211
[4]   COMPLICATIONS OF POSTCHEMOTHERAPY RETROPERITONEAL LYMPH-NODE DISSECTION [J].
BANIEL, J ;
FOSTER, RS ;
ROWLAND, RG ;
BIHRLE, R ;
DONOHUE, JP .
JOURNAL OF UROLOGY, 1995, 153 (03) :976-980
[5]   SURGICAL ANATOMY OF THE LUMBAR VESSELS - IMPLICATIONS FOR RETROPERITONEAL SURGERY [J].
BANIEL, J ;
FOSTER, RS ;
DONOHUE, JP .
JOURNAL OF UROLOGY, 1995, 153 (05) :1422-1425
[6]   The lumbar arteries and veins: Quantification of variable anatomical positioning with application to retroperitoneal surgery [J].
Beveridge, Tyler S. ;
Power, Adam ;
Johnson, Marjorie ;
Power, Nicholas E. ;
Allman, Brian L. .
CLINICAL ANATOMY, 2015, 28 (05) :649-660
[7]  
Camargo AMSR, 1996, J ANAT, V188, P59
[8]   A Review of the Anatomy and Clinical Significance of Adrenal Veins [J].
Cesmebasi, Alper ;
Du Plessis, Maira ;
Iannatuono, Mark ;
Shah, Sameer ;
Tubbs, R. Shane ;
Loukas, Marios .
CLINICAL ANATOMY, 2014, 27 (08) :1253-1263
[9]  
CHANG RWH, 1989, J ANAT, V164, P41
[10]   Venous Resection in Urological Surgery [J].
Duty, Brian ;
Daneshmand, Siamak .
JOURNAL OF UROLOGY, 2008, 180 (06) :2338-2342