Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press10610.17650/1726-9776-2013-9-3-10-16LECTUREЛЕКЦИЯVARIANTS OF THE INFERIOR VENA CAVA AND ITS TRIBUTARIES: THE CLASSIFICATION, EMBRYOGENESIS, CT IMAGING AND CLINICAL SIGNIFICANCE IN PARA-AORTIC LYMPHADENECTOMYВАРИАНТЫ СТРОЕНИЯ НИЖНЕЙ ПОЛОЙ ВЕНЫ И ЕЕ ПРИТОКОВ: КЛАССИФИКАЦИЯ, ЭМБРИОГЕНЕЗ, КОМПЬЮТЕРНАЯ ДИАГНОСТИКА И КЛИНИЧЕСКОЕ ЗНАЧЕНИЕ ПРИ ПАРААОРТАЛЬНОЙ ЛИМФОДИССЕКЦИИMukhtarulinaS. V.МухтарулинаС. В.
Russian Federation
svmukhtarulina@yandex.ruKaprinA. D.КапринА. Д.
Russian Federation
svmukhtarulina@yandex.ruAstashovV. L.АсташовВ. Л.
Russian Federation
svmukhtarulina@yandex.ruAseevaI. A.АсееваИ. А.
Russian Federation
svmukhtarulina@yandex.ruMain Military Clinical Hospital named after N.N. BurdenkoФГКУ «ГВКГ им. Н.Н. Бурденко» Минобороны РФMoscow Scientific Oncological Institute named after P.A. GercenФГУ «МНИОИ им. П.А. Герцена» Росмедтехнологий300920139310162707201427072014https://oncourology.abvpress.ru/oncur/article/view/106

Defect of the embryogenesis of the three paired cardinal veins and their anastomoses leads to the formation of the inferior vena cava abnormalities. Congenital anomalies of the inferior vena cava (IVC) and its tributaries are usually asymptomatic. The computed tomographic (CT) imaging with intravenously administered contrast material is used for identification of the vascular structures and abnormalities. Knowledge of the anomalies of the vessels help the surgeons to avoid the development of complications by the para-aortic lymph node dissection in patients with neoplasm’s of the testis, kidney, and female genital tract. This article reviews the classification, embryogenesis, anatomy, CT imaging and clinical significance in para-aortic lymphadenectomy of the variants of the IVC and its tributaries.

Нарушение эмбрионального развития 3 парных кардинальных вен и их анастомозов ведет к формированию большого разнообразия вариантов строения нижней полой вены (НПВ) и ее притоков. В большинстве случаев нарушения строения НПВ и ее притоков протекают бессимптомно. Для определения вариантов строения сосудов забрюшинного пространства в клинической практике широко используется компьютерная томография (КТ) с внутривенным усилением. Знание особенностей строения сосудов забрюшинного пространства помогает хирургам избежать развития осложнений во время парааортальной лимфодиссекции у больных со злокачественными опухолями яичка, почек и злокачественными опухолями женского полового тракта. В статье рассматриваются вопросы классификации, эмбриогенеза, анатомии, КТ и клинического значения в хирургической практике наиболее часто встречающихся вариантов строения НПВ и ее притоков.

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