Negura A, Apavaloaie I, Marderos G
Service d'Obstétrique et Gynécologie, Clinique II, UMF, IAISI, Roumanie.
Rev Fr Gynecol Obstet. 1995 Apr-May;90(4):240-3.
Vascular abnormalities may create difficulties during exposure of the lateral surface of the ureter during radical lymphadeno-hystero-colpectomy for uterine carcinoma. The aim is to avoid peroperative bleeding due to damage to abnormal vessels (in particular abnormal anastomotic uterine vein) crossing the lateral surface of the ureter. The authors have encountered such vascular abnormalities three times during radical lymphadeno-hystero-colpectomy. Recognition of the abnormal vessel crossing the lateral surface of the ureter and its division between two separate sutures prevented accidental peroperative bleeding as well as possible damage to the terminal (juxta-vesical) part of the ureter.
在子宫癌根治性淋巴结清扫-子宫-结肠切除术过程中，输尿管外侧暴露时血管异常可能会造成困难。目的是避免因损伤横跨输尿管外侧的异常血管（特别是异常的子宫吻合静脉）而导致术中出血。作者在根治性淋巴结清扫-子宫-结肠切除术过程中遇到过3次此类血管异常情况。识别横跨输尿管外侧的异常血管并在两根单独缝线之间进行分离，可防止术中意外出血以及可能对输尿管末端（膀胱旁）部分造成的损伤。
