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Anatomical basis for Wilms tumor surgery

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Author(s): Trobs R

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 14;
Issue: 2;
Start page: 50;
Date: 2009;
Original page

Keywords: Aorta | Gerota′s fascia | Wilms tumor | inferior mesenteric artery | superior mesenteric artery | surgery | vascular injury

ABSTRACT
Wilms tumor surgery requires meticulous planning and sophisticated surgical technique. Detailed anatomical knowledge can facilitate the uneventful performance of tumor nephrectomy and cannot be replaced by advanced and sophisticated imaging techniques. We can define two main goals for surgery: (1) exact staging as well as (2) safe and complete resection of tumor without spillage. This review aims to review the anatomical basis for Wilms tumor surgery. It focuses on the surgical anatomy of retroperitoneal space, aorta, vena cava and their large branches with lymphatics. Types and management of vascular injuries are discussed.
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