Three-Dimensional Vascular Anatomy Relevant to Oncologic Resection of Right Colon Cancer

被引：28

作者：

Tajima, Yusuke ^{[1
]}

Ishida, Hideyuki ^{[1
]}

Ohsawa, Tomonori ^{[1
]}

Kumamoto, Kensuke ^{[1
]}

Ishibashi, Keiichiro ^{[1
]}

Haga, Norihiro ^{[1
]}

Osada, Hisato ^{[2
]}

机构：

[1] Saitama Med Univ, Saitama Med Ctr, Dept Digest Tract & Gen Surg, Kawagoe, Saitama 3508550, Japan

[2] Saitama Med Univ, Saitama Med Ctr, Dept Radiol, Kawagoe, Saitama 3508550, Japan

来源：

INTERNATIONAL SURGERY | 2011年 / 96卷 / 04期

关键词：

Superior mesenteric artery; Superior mesenteric vein; Colon cancer; Lymphadenectomy; Colectomy; SUPERIOR MESENTERIC-ARTERY; MINILAPAROTOMY; SURGERY;

D O I：

10.9738/CC20.1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We analyzed data on the three-dimensional vascular anatomy of the right colon from the operative documents of 215 patients undergoing oncologic resection for right colon cancer. The right colic artery (RCA) was absent in 146 patients (67.9%), with the ileocolic artery (ICA) crossing the superior mesenteric vein (SMV) ventrally in 78 patients (36.3%). When the RCA was present, both the ICA and the RCA crossed the SMV ventrally in 44 patients (20.5%), dorsally in 10 patients (4.7%), the RCA crossed the SMV ventrally and the ICA dorsally in 10 patients (4.7%), and the RCA crossed the SMV dorsally and the ICA ventrally in 5 patients (2.2%). The arterial branches toward the hepatic flexure crossed the SMV ventrally in 151 eligible cases: the branch originated from the common trunk of the middle colic artery in 97 patients (64.2%) and 1 and 2 arteries directly originated from the SMA in 49 patients (32.5%) and in 5 patients (3.3%), respectively. These data would be useful to safely perform lymph node dissection around the SMV.

引用

页码：300 / 304

页数：5

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