Vascular relationships in right colectomy for cancer: clinical implications.
Publication/Presentation Date
9-1-2007
Abstract
AIMS: The study aim was to provide data on pattern and length of crossing of the ileocolic artery (ICA) and right colic artery (RCA) with the superior mesenteric vein (SMV).
METHODS: Specimens from 30 fresh human cadavers underwent corrosion casting. Methylacrylate was injected into the SMV and superior mesenteric artery (SMA). Length of crossing was measured with a scaleable ruler and copper wire. Values are mean (SD; range).
RESULTS: ICA was present in all specimens and crossed posterior to the SMV in 19 (63.33%) of 30 specimens. Length of crossing was 17.01 (7.84; 7.09-42.89) mm. RCA was present in 19 (63.33%) of 30 specimens. RCA crossed anterior to SMV in 16 (84.21%) of 19 specimens. Length of crossing was 20.63 (8.09; 6.3-35.7) mm.
CONCLUSIONS: ICA was always present, crossed posterior to SMV in 60% of specimens with a crossing length of 17 mm. RCA was present in 63% of specimens, crossed anterior to the SMV in 84% of specimens with a crossing length of 20 mm. Clinical implications include arterial length left behind with main nodes, arterial bleeding and safety of laparoscopic access.
Volume
11
Issue
3
First Page
247
Last Page
250
ISSN
1123-6337
Published In/Presented At
Ignjatovic, D., Sund, S., Stimec, B., & Bergamaschi, R. (2007). Vascular relationships in right colectomy for cancer: clinical implications. Techniques in coloproctology, 11(3), 247–250. https://doi.org/10.1007/s10151-007-0359-5
Disciplines
Medicine and Health Sciences
PubMedID
17676266
Department(s)
Department of Surgery
Document Type
Article