Biometric measurements involving the terminal portion of the thoracic duct on left cervical level IV: an anatomic study

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Citações na Scopus
7
Tipo de produção
article
Data de publicação
2016
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
Citação
ANATOMICAL SCIENCE INTERNATIONAL, v.91, n.3, p.274-279, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
To determine the point of entrance of the thoracic duct in the venous system, as well as to evaluate some biometric measurements concerning its terminal portion, we conducted an anatomic study on 25 non-preserved cadavers. The termination of the thoracic duct occurred on the confluence between the left internal jugular vein and the left subclavian vein in 60 % of the individuals. The average results for the biometric measurements were: distance between the end of left internal jugular vein and omohyoid muscle 31.2 +/- A 2.7 mm; distance between the end of thoracic duct and the left internal jugular vein 0.0 +/- A 0.0 mm; distance between the end of thoracic duct and the left subclavian vein 3.6 +/- A 1.0 mm; distance between the end of thoracic duct and the left brachiocephalic vein 10.7 +/- A 3.1 mm. Moreover, it was identified that the left internal jugular vein length in level IV, measured between its entrance in the left subclavian vein and the omohyoid muscle, was able to predict the termination of the thoracic duct on the junction between the left internal jugular vein and the left subclavian vein (OR = 2.99) with high accuracy (79.3 %). In addition, the left internal jugular vein length at level IV was able to predict the localization of thoracic duct termination. Thus, this finding has practical value in minimizing the risk for a potential chyle leak during or after a left-sided neck dissection.
Palavras-chave
Anatomic variation, Anatomy, Neck dissection, Surgery, Thoracic duct
URI
https://observatorio.fm.usp.br/handle/OPI/14104
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/26
Artigos e Materiais de Revistas Científicas - LIM/28
Artigos e Materiais de Revistas Científicas - LIM/33