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The Journal of Thoracic and Cardiovascular Surgery, Vol 97, 623-632, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
M Riquet, G Hidden and B Debesse
The subpleural lymphatics of 483 lung segments were injected in cadavers of
260 adult subjects. The injected lymph vessels corresponded to the
pulmonary segmentation in 91% of the cases and remained close by in the
other cases. Direct passages to the mediastinal nodes were observed in 54
of 243 right lung segments injected (22.2%) and 60 of 240 left lung
segments (25%). Among a total of 114 direct passages observed, 99 remained
superficial in the pleura, half of them composed of a single vessel. These
passages have been observed more frequently in the segments of the upper
lobes. Injections of basal segments in the right and left lower lobes
showed fewer of these direct passages to the mediastinal lymph nodes and
also demonstrated direct lymph vessels to lymph nodes located at the origin
of the upper lobar bronchi. In two dissections of the right upper lobe, the
drainage went directly to the right venous jugular-subclavian junction, and
in three dissections from three right terminal basal segments the lymph
vessel went directly to the thoracic duct in its mediastinal passage.
Direct contralateral lymph pathways were observed five times, four of them
from basal segments of lower lobes.
ARTICLES
Direct lymphatic drainage of lung segments to the mediastinal nodes. An anatomic study on 260 adults
Service de Chirurgie Thoracique, Hopital Laennec, Paris, France.
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