Lymphatic vessels around the uterus: D2-40 (podoplandin) immunohistochemistry using elderly cadavers
Using D2-40 immunohistochemistry, we examined the morphology of lymphatic vessels (LVs) in, along and around the uterus of 10 donated female cadavers (mean age, 85 years). All these women had 1 or 2 children with vaginal delivery, but the other obstetrics information was unknown. When compared with...
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Veröffentlicht in: | Folia morphologica 2016, Vol.75 (2), p.232-239 |
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description | Using D2-40 immunohistochemistry, we examined the morphology of lymphatic vessels (LVs) in, along and around the uterus of 10 donated female cadavers (mean age, 85 years). All these women had 1 or 2 children with vaginal delivery, but the other obstetrics information was unknown. When compared with the bladder, vagina and the subperitoneal tissue, the percentage area of LVs in a 3 × 2 mm square including the hot spot was extremely high along the uterine artery and superficial uterine vein, in spite of the silent physiology of the elderly uterus. Notably, the LVs along the uterine artery and superficial uterine vein were highly dilated and embedded in the tight connective tissue around the artery and vein. In contrast, the LVs were separated from the artery and vein in the so-called vesico- -uterine ligament. Thus, surgical separation of the LVs from the artery and vein, i.e., skeletonisation, appears very difficult along the uterine artery and superficial uterine vein. This may become a major factor limiting the future application of robot-assisted surgery for uterine cancers. |
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All these women had 1 or 2 children with vaginal delivery, but the other obstetrics information was unknown. When compared with the bladder, vagina and the subperitoneal tissue, the percentage area of LVs in a 3 × 2 mm square including the hot spot was extremely high along the uterine artery and superficial uterine vein, in spite of the silent physiology of the elderly uterus. Notably, the LVs along the uterine artery and superficial uterine vein were highly dilated and embedded in the tight connective tissue around the artery and vein. In contrast, the LVs were separated from the artery and vein in the so-called vesico- -uterine ligament. Thus, surgical separation of the LVs from the artery and vein, i.e., skeletonisation, appears very difficult along the uterine artery and superficial uterine vein. 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This may become a major factor limiting the future application of robot-assisted surgery for uterine cancers.</description><subject>Aged, 80 and over</subject><subject>Arteries</subject><subject>Cadaver</subject><subject>Cadavers</subject><subject>Connective tissues</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Lymphatic system</subject><subject>Lymphatic Vessels</subject><subject>Obstetrics</subject><subject>Robotic surgery</subject><subject>Uterine cancer</subject><subject>Uterus</subject><subject>Vagina</subject><subject>Veins & arteries</subject><issn>0015-5659</issn><issn>1644-3284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkE1P3DAURa2qVZlSlmwrS93QRYYXf8Vhh4BpKw1iQ9eWY78wQUkc7Bhp_j0ZoF10daWn866uDiGnJaylAn6-uV1bBqVcA2j-gaxKJUTBmRYfyQqWeyGVrI_Il5QeAaQQFXwmR0xxzSVUK-K3-2Ha2blz9BlTwj5RG0MePZ13SPOMMacLes0KAfRsCj5MvR19N_6g3TDkMey6NAe3w2HJuKc5deMDxd5j7PfUWW-fMaav5FNr-4Qn73lM_mxu7q9-Fdu7n7-vLreF46WaC9ZaC5pp3kAjUThsJdZSO9ZUUNrSWWwFOiVUg7rxUNW15ghKLs-1F5rzY3L21jvF8JQxzWaZ5bBfJmPIyZSaKcWqqoIF_f4f-hhyHJd1hgklGGipD1TxRrkYUorYmil2g417U4I56DebW_Oq3xz0L_y399bcDOj_0X998xdcWoAc</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Sasaki, H</creator><creator>Jin, Z W</creator><creator>Liu, Y L</creator><creator>Jin, Y</creator><creator>Murakami, G</creator><creator>Abe, S-I</creator><general>Wydawnictwo Via Medica</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H9R</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2016</creationdate><title>Lymphatic vessels around the uterus: D2-40 (podoplandin) immunohistochemistry using elderly cadavers</title><author>Sasaki, H ; Jin, Z W ; Liu, Y L ; Jin, Y ; Murakami, G ; Abe, S-I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c316t-2faa08283b0b5e4cef5e958c2b701a1caef4ec646be8bd079983e0653169d4833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged, 80 and over</topic><topic>Arteries</topic><topic>Cadaver</topic><topic>Cadavers</topic><topic>Connective tissues</topic><topic>Female</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Lymphatic system</topic><topic>Lymphatic Vessels</topic><topic>Obstetrics</topic><topic>Robotic surgery</topic><topic>Uterine cancer</topic><topic>Uterus</topic><topic>Vagina</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sasaki, H</creatorcontrib><creatorcontrib>Jin, Z W</creatorcontrib><creatorcontrib>Liu, Y L</creatorcontrib><creatorcontrib>Jin, Y</creatorcontrib><creatorcontrib>Murakami, G</creatorcontrib><creatorcontrib>Abe, S-I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Illustrata: Natural Sciences</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Folia morphologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sasaki, H</au><au>Jin, Z W</au><au>Liu, Y L</au><au>Jin, Y</au><au>Murakami, G</au><au>Abe, S-I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lymphatic vessels around the uterus: D2-40 (podoplandin) immunohistochemistry using elderly cadavers</atitle><jtitle>Folia morphologica</jtitle><addtitle>Folia Morphol (Warsz)</addtitle><date>2016</date><risdate>2016</risdate><volume>75</volume><issue>2</issue><spage>232</spage><epage>239</epage><pages>232-239</pages><issn>0015-5659</issn><eissn>1644-3284</eissn><abstract>Using D2-40 immunohistochemistry, we examined the morphology of lymphatic vessels (LVs) in, along and around the uterus of 10 donated female cadavers (mean age, 85 years). All these women had 1 or 2 children with vaginal delivery, but the other obstetrics information was unknown. When compared with the bladder, vagina and the subperitoneal tissue, the percentage area of LVs in a 3 × 2 mm square including the hot spot was extremely high along the uterine artery and superficial uterine vein, in spite of the silent physiology of the elderly uterus. Notably, the LVs along the uterine artery and superficial uterine vein were highly dilated and embedded in the tight connective tissue around the artery and vein. In contrast, the LVs were separated from the artery and vein in the so-called vesico- -uterine ligament. Thus, surgical separation of the LVs from the artery and vein, i.e., skeletonisation, appears very difficult along the uterine artery and superficial uterine vein. 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subjects | Aged, 80 and over Arteries Cadaver Cadavers Connective tissues Female Humans Immunohistochemistry Lymphatic system Lymphatic Vessels Obstetrics Robotic surgery Uterine cancer Uterus Vagina Veins & arteries |
title | Lymphatic vessels around the uterus: D2-40 (podoplandin) immunohistochemistry using elderly cadavers |
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