00:01
So, let's have a look
at some specifics.
00:03
So, let's have a look at
the stomach and liver.
00:05
So, here the stomach
is supplied by branches
coming from the celiac artery.
00:09
So, ultimately,
they're going to be draining
into the celiac lymph nodes.
00:13
They do this via a
number of lymph nodes
which are scattered
around the stomach.
00:18
You may not need to know
all of these specific names.
00:22
For example,
around the stomach.
00:23
We have the cardiac lymphatic ring.
00:26
Some left and right
gastric lymph nodes,
gastro-omental lymph nodes,
and supra pyloric lymph nodes.
00:33
And these are all going
to drain from the stomach
into the celiac lymph nodes.
00:37
Associated with the liver,
we have the hepatic lymph nodes.
We can see here.
00:42
So, lymph draining
from these regions
will pass towards that
celiac lymph node.
00:47
If we then have a look also
at the celiac lymph nodes,
but those structures that
also receive blood supply
from the celiac trunk.
00:55
We can now talk about
the spleen for example.
00:58
So, we have the
superior pancreatic lymph nodes,
inferior pancreatic lymph nodes,
and splenic lymph nodes
draining these areas of
the organs respectively.
01:08
We can also have the
pancreaticoduodenal lymph nodes.
01:11
We can see here.
01:12
But these are also
going to be supplying
the superior mesenteric lymph nodes.
01:17
Remembering that there is that
anastomosis of course
between the celiac trunk and
the superior mesenteric artery
in supplying this region.
01:24
So, therefore, makes sense
that the lymph will pass
parallel to those blood vessels.
01:30
So, we're going to
see a combination
of these lymph nodes
pairing up here.
01:35
If we look at the
small and large intestine,
then we have the superior
mesenteric lymph nodes here.
01:40
We can see some intermediate
mesenteric lymph nodes,
some juxta-intestinal lymph nodes
associated with the blood supply
going towards the small intestines.
01:49
We have the ileocecal lymph nodes
similar to the
ileocecal artery we had.
01:53
Here we've got some right colic,
some middle colic lymph nodes,
and all of these are associated with
the superior mesenteric lymph nodes.
02:01
Just as these blood vessels
were associated
with a superior mesenteric artery.
02:06
So, again, we've got some pairing up
of these lymphatic vessels
to the corresponding
arterial supply.
02:13
Let's continue and have a look
at the descending colon,
we can see here.
02:17
associated this time
as you'd expect
with the inferior
mesenteric lymph nodes
as they come in from the
inferior mesenteric artery.
02:24
So we have the
left colic lymph nodes,
mesocolic lymph nodes
within the sigmoid mesocolon.
02:29
and here we have superior rectal
lymph nodes as well.
02:33
Again, following pretty much the
pattern of the arterial supply
coming from the inferior
mesenteric artery,
we have the respective lymph nodes
passing back towards the
inferior mesenteric lymph nodes.
02:46
Now, let's enter into the pelvis.
02:48
And again, please make sure you need
to know the level of detail here
that we're going to talk about in
terms of drainage of pelvic lymph.
02:56
So here we have the common
iliac lymph nodes. We can see here.
03:00
We have some
sacral lymph nodes we can see
and some internal iliac lymph nodes
alongside there pairing with
some external iliac lymph nodes.
03:09
So, this makes sense.
03:10
The common iliac artery gives rise
to internal and
external iliac artery.
03:14
And here we have some
internal and iliac lymph nodes.
03:18
Draining lymph from the destination
that those arteries go to.
03:22
We can also see how some superficial
inguinal lymph nodes here.
03:26
And if we have superficial
inguinal lymph nodes,
typically we're going to have
a deep version as well.
03:31
So here we have some deep
inguinal lymph nodes.
03:33
And all of these structures
form a very complex pattern
of lymphatic drainage.
03:38
Let's have a look at the male
reproductive organs, for example.
03:42
So, here we have the testis.
03:44
These are going to be supplied
by the testicular artery,
and they're going to pass towards
the lateral aortic lymph nodes,
which we can see here.
03:51
That's important, because
that's going to be associated
with the inguinal canal.
03:56
And the inguinal canal
is going to be supplied
via those superficial
inguinal nodes.
04:03
That means that if you
were to remove the testi,
from the scrotal sac,
because of testicular cancer,
then it's important to actually
try and remove the testi
from the wall off the abdomen.
04:15
Don't take the testi away
from the scrotal sac,
because developmentally, they have
very different lymphatic drainage.
04:22
So the lymphatic drainage
of the testi,
because of its own
biological origin,
is that of the anterior
abdominal wall.
04:28
So superficial inguinal lymph nodes.
04:30
So you want to take the testi
away up from the inguinal canal.
04:34
If you were to remove the
testi from the scrotal sac,
because they're drained by
the deep inguinal lymph nodes,
you could introduce
those cancer cells
into that aspect of
the lymphatic system,
and that could enhance
the spread of the cancer,
which you'd want to avoid.
04:49
So, if we now look at the
female reproductive organs
and their lymphatic drainage,
this is interesting
because it's very similar
to what we spoke about
a moment or two ago.
04:57
So, the external genitalia
is going to drain
into the superficial
inguinal lymph nodes.
05:01
So, that is synonymous pretty much
with the testicle, for example.
05:05
And then the vagina and the uterus
are going to actually be draining
into the deep inguinal lymph nodes.
05:10
So this is why again,
removing the testicle
passes through the
ante abdominal wall
superficial inguinal nodes.
05:17
And this is similar this time
for the external genitalia
in the female.
05:21
The vagina and the uterine cervix
pass through to the
deep inguinal lymph nodes.
05:25
The uterus and the fallopian tube
by the external iliac lymph nodes
and also the
internal lymph nodes as well.
05:33
The sacral lymph nodes
position most posterior
will also have
a contribution coming from
the pelvic organs in the female
so the uterus, fallopian tube,
cervix, etc, etc,
will pass into this sacral region.
05:45
The ovaries will also give rise
to their lymphatic drainage
and that will pass
into the lymph nodes
associated with the pelvis.
05:52
These all pass up and
similar to what we saw
in the male reproductive
organs lymphatic drainage.
05:58
They will pass
to the lateral aortic lymph nodes.