Vascular anatomy of the right colon and vascular complications during laparoscopic surgery / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 336-341, 2012.
Article
in Zh
| WPRIM
| ID: wpr-290790
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the vascular anatomy and complications of the right colon under laparoscope.</p><p><b>METHODS</b>Videotapes of 55 laparoscopic extended right hemicolectomy with D3 lymphadenectomy were reviewed and the anatomic relationship and bleeding vessels were determined.</p><p><b>RESULTS</b>The superior mesenteric vein, superior mesenteric artery, ileocolic artery, and middle colic artery were present in all the patients. The right colic artery was present in 45.5%(25/55) of the patients. The incidence of the gastrocolic venous trunk was 74.5%. The overall incidence of intraoperative bleeding was 43.6%. Vessels in the pre-pancreatic region including the right gastroepiploic artery, the gastrocolic venous trunk, and its tributaries had a higher risk of bleeding than the middle colic vein and artery (16.4% vs. 14.5%). Intraoperative bleeding significantly prolonged the overall operative time and lymphadenectomy time.</p><p><b>CONCLUSIONS</b>The vascular anatomy of the right colon is intricate and variable and laparoscopic extended right hemicolectomy with D3 lymphadenectomy is associated with a high risk of hemorrhage. Understanding the vessels anatomic relationship of the right colon is valuable to decrease vascular complication.</p>
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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General Surgery
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Laparoscopy
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Colon
Limits:
Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2012
Type:
Article