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
de Zh
| WPRIM
| ID: wpr-290790
Bibliothèque responsable:
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>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Complications postopératoires
/
Chirurgie générale
/
Laparoscopie
/
Côlon
Limites du sujet:
Female
/
Humans
/
Male
langue:
Zh
Texte intégral:
Chinese Journal of Gastrointestinal Surgery
Année:
2012
Type:
Article