{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:04:53Z","timestamp":1774879493690,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T00:00:00Z","timestamp":1479254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T00:00:00Z","timestamp":1479254400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>For radiologists, the venous drainage of adrenal glands is a key to the technique of selective adrenal venous sampling. For endocrine surgeons, it is key to adrenalectomy for carcinoma and pheochromocytoma. This study aims to demonstrate direct anastomosis between the left adrenal vein, the diaphragmatic circulation and the azygos system. Anatomical textbooks only offer very little information concerning the left adrenal vein (LAV) and its potential anastomosis with the reno\u2010lumbo\u2010azygo trunk (RLAT) and the diaphragmatic circulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between November 2014 and October 2015\u00a0in the LADAF (French Alps Anatomy Laboratory), we dissected 44 formalin\u2010fixed adult cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found no direct anastomosis between the left adrenal vein and the reno\u2010azygo\u2010lumbar trunk and two anastomoses (4.5%) between the adrenal capsular vein and azygos system. A lumbo\u2010azygo trunk has been found 38 times (86.3%), drained 35 times (79.5%) into the left renal vein and 3 times (6.8%) into the left genital vein. An inferior phrenic vein ending into an adrenal vein was highlighted in all cases, 6 times (13.7%) in a double adrenal vein and 38 times (86.3%) in a single one.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No connections have been found between left adrenal vein and the RLAT, and frequency of the IPV is discordant with the literature. However, our findings concerning the capsular vessels\u2019 anastomosis with the azygos system, inferior diaphragmatic flow and double adrenal vein could have two clinical applications: Firstly, the ligation of the adrenal vein solely is not enough to entirely interrupt the adrenal vein drainage, and secondly, sampling of hormones in the LAV could be underestimated because of the risk of dilution.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3817-2","type":"journal-article","created":{"date-parts":[[2016,11,17]],"date-time":"2016-11-17T05:15:09Z","timestamp":1479359709000},"page":"991-996","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Anatomical Variations of the Venous Drainage from the Left Adrenal Gland: An Anatomical Study"],"prefix":"10.1002","volume":"41","author":[{"given":"Matthieu","family":"Siebert","sequence":"first","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"},{"name":"Thoracic, Vascular and Endocrine Surgery Department University Hospital of Grenoble BP217 38043 Grenoble Cedex 09 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohann","family":"Robert","sequence":"additional","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romain","family":"Didier","sequence":"additional","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonin","family":"Minster","sequence":"additional","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wassila","family":"M\u2019sallaoui","sequence":"additional","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Bellier","sequence":"additional","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe C. J.","family":"Chaffanjon","sequence":"additional","affiliation":[{"name":"Laboratoire d\u2019Anatomie Des Alpes Fran\u00e7aises (LADAF), Faculty of Medicine Grenoble Alpes University Grenoble France"},{"name":"Thoracic, Vascular and Endocrine Surgery Department University Hospital of Grenoble BP217 38043 Grenoble Cedex 09 France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,16]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22374"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181961d77"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.tvir.2010.02.006"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010011\u20102121\u20105"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010151\u20105\u2010200909010\u201000007"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102461\u2010y"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)69298-X"},{"key":"e_1_2_6_9_2","volume-title":"Grey\u2019s anatomy of the human body","author":"Clemente C","year":"1985"},{"key":"e_1_2_6_10_2","volume-title":"The developing human","author":"Morre K","year":"2003"},{"key":"e_1_2_6_11_2","first-page":"105","article-title":"The adrenal and renal veins of man and their connections with azygos and lumbar veins","volume":"146","author":"Monkhouse WS","year":"1986","journal-title":"J Anat"},{"key":"e_1_2_6_12_2","first-page":"1405","article-title":"The left renal vein","volume":"75","author":"Auvert J","year":"1967","journal-title":"Presse M\u00e9d"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1076\/ejom.39.4.0193"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(57)90590\u20101"},{"key":"e_1_2_6_15_2","first-page":"71","article-title":"Adrenalectomy for hormone dependent cancers: breast and prostate","volume":"15","author":"Cade S","year":"1954","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_16_2","first-page":"350","article-title":"The venous drainage of the human adrenal gland","volume":"14","author":"Gagnon R","year":"1956","journal-title":"Rev Can Biol \u00c9dit\u00e9e Par Univ Montr"},{"key":"e_1_2_6_17_2","first-page":"1018","article-title":"Studies on locality diagnosis of adrenal tumors: anatomical study on adrenal and juxta\u2010adrenal veins in Japanese and its contribution to adrenal vein catheterization method (author\u2019s transl)","volume":"67","author":"Hidai H","year":"1976","journal-title":"Nihon Hiny\u014dkika Gakkai Zasshi Jpn J Urol"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010005\u20100029\u20100"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1166\u20107087(07)78569\u2010X"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.610"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.05.011"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010008\u20100264\u20107"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23963"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjh.0000467658.23414.b0"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102265.2008.03450.x"},{"key":"e_1_2_6_26_2","unstructured":"MadreJ(2013)Mesurim Pro. 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