Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only
Yıl: 2022 Cilt: 23 Sayı: 2 Sayfa Aralığı: 124 - 125 Metin Dili: İngilizce DOI: 10.4274/jtgga.galenos.2022.2021-9-2 İndeks Tarihi: 16-06-2022
Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only
Öz: When enlarged cardiophrenic lymph nodes (CPLN) are resected the impact on survival is still uncertain, but resection contributes to accurate
staging and complete gross resection in advanced ovarian cancer. CPLN resection can be performed via video-assisted thoracic surgery or
transabdominally through the subxiphoid or transdiaphragmatic routes. The subxiphoid approach is used to reach the prepericardiac nodes
located in the anterior mediastinum. The transdiaphragmatic route is used to remove the costophrenic and supradiaphragmatic paracaval
lymph nodes located in the middle and posterior mediastinum, respectively. However, the transdiaphragmatic approach necessitates diaphragm
opening and, in most cases, liver mobilization. Costophrenic nodes can be resected through the subxiphoid route in appropriate patients without
opening the diaphragm. Thus, the subxiphoid approach may be preferred to remove the costophrenic lymph nodes, in cases in whom diaphragm
resection is not anticipated, and especially when the resection procedure is planned to include the prepericardiac nodes. In this video article, we
present the method of resecting both prepericardiac and costophrenic lymph nodes using only the subxiphoid approach in a case of advanced
ovarian cancer. The subxiphoid virtual space between the pericardium and diaphragm was developed. The observed and palpated CPLNs were
dissected and excised from the prepericardiac and right latero-cardiac spaces. Thereafter, diaphragm peritoneum beneath the right costophrenic
nodes was dissected. After identifying any enlarged costophrenic nodes by palpation, the sternal and costal diaphragmatic attachments were
incised and the right latero-cardiac space was extended. When the single enlarged node was reached, it was grasped and pulled with curvedring forceps and ultimately resected. (J Turk Ger Gynecol Assoc 2022; 23: 124-5)
Anahtar Kelime: Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
- 1. Cowan RA, Tseng J, Murthy V, Srivastava R, Long Roche KC, Zivanovic O, et al. Feasibility, safety and clinical outcomes of cardiophrenic lymph node resection in advanced ovarian cancer. Gynecol Oncol 2017; 147: 262-6.
- 2. Boria F, Rodriguez-Perez M, Vázquez-Vicente D, Castellanos T, Chacon E, Chiva L. Thoracic anatomical landmarks and uniportal VATS cardiophrenic lymph node resection in advanced ovarian cancer. Int J Gynecol Cancer 2021; 31: 793-4.
- 3. Martínez-Gómez C, Angeles MA, Leray H, Tanguy Le Gac Y, Ferron G, Martinez A. Transdiaphragmatic and transxiphoid cardiophrenic lymph node resection step-by-step in advanced ovarian cancer. Int J Gynecol Cancer 2020; 30: 1646-7.
- 4. Minig L, Arraras M, Zorrero C, Martinez P, Patron M, Peñalver JC. A different surgical approach for cardiophrenic lymph node resection in advanced ovarian cancer. Ecancermedicalscience 2017; 11: 780.
APA | Khatib G, Köse S, kilic bagir e, Kucukgoz Gulec U, güzel a, vardar M (2022). Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. , 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
Chicago | Khatib Ghanim,Köse Sevgül,kilic bagir emine,Kucukgoz Gulec Umran,güzel ahmet barış,vardar Mehmet Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. (2022): 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
MLA | Khatib Ghanim,Köse Sevgül,kilic bagir emine,Kucukgoz Gulec Umran,güzel ahmet barış,vardar Mehmet Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. , 2022, ss.124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
AMA | Khatib G,Köse S,kilic bagir e,Kucukgoz Gulec U,güzel a,vardar M Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. . 2022; 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
Vancouver | Khatib G,Köse S,kilic bagir e,Kucukgoz Gulec U,güzel a,vardar M Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. . 2022; 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
IEEE | Khatib G,Köse S,kilic bagir e,Kucukgoz Gulec U,güzel a,vardar M "Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only." , ss.124 - 125, 2022. 10.4274/jtgga.galenos.2022.2021-9-2 |
ISNAD | Khatib, Ghanim vd. "Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only". (2022), 124-125. https://doi.org/10.4274/jtgga.galenos.2022.2021-9-2 |
APA | Khatib G, Köse S, kilic bagir e, Kucukgoz Gulec U, güzel a, vardar M (2022). Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. Journal of the Turkish-German Gynecological Association, 23(2), 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
Chicago | Khatib Ghanim,Köse Sevgül,kilic bagir emine,Kucukgoz Gulec Umran,güzel ahmet barış,vardar Mehmet Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. Journal of the Turkish-German Gynecological Association 23, no.2 (2022): 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
MLA | Khatib Ghanim,Köse Sevgül,kilic bagir emine,Kucukgoz Gulec Umran,güzel ahmet barış,vardar Mehmet Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. Journal of the Turkish-German Gynecological Association, vol.23, no.2, 2022, ss.124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
AMA | Khatib G,Köse S,kilic bagir e,Kucukgoz Gulec U,güzel a,vardar M Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. Journal of the Turkish-German Gynecological Association. 2022; 23(2): 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
Vancouver | Khatib G,Köse S,kilic bagir e,Kucukgoz Gulec U,güzel a,vardar M Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only. Journal of the Turkish-German Gynecological Association. 2022; 23(2): 124 - 125. 10.4274/jtgga.galenos.2022.2021-9-2 |
IEEE | Khatib G,Köse S,kilic bagir e,Kucukgoz Gulec U,güzel a,vardar M "Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only." Journal of the Turkish-German Gynecological Association, 23, ss.124 - 125, 2022. 10.4274/jtgga.galenos.2022.2021-9-2 |
ISNAD | Khatib, Ghanim vd. "Cardiophrenic and costophrenic lymph node resection via subxiphoid approach only". Journal of the Turkish-German Gynecological Association 23/2 (2022), 124-125. https://doi.org/10.4274/jtgga.galenos.2022.2021-9-2 |