Preoperative assessment of perigastric vascular anatomy by multidetector computed tomography angiogram for laparoscopy-assisted gastrectomy.

Langenbeck's Archives of Surgery
Akira MiyakiYukari Takada

Abstract

We aimed at investigating the efficacy of multidetector computed tomography (MDCT) angiogram reconstructed using the maximum intensity projection (MIP) technique for the assessment of perigastric vascular anatomy before laparoscopy-assisted gastrectomy (LAG) for gastric cancer. Seventy-one patients who underwent LAG were enrolled in the study. Contrast-enhanced scans of the portal venous phase were performed by a MDCT scanner. The CT images were reconstructed using thin-slab MIP. The anatomic variations in the inflow and the location of the left gastric vein (LGV) were detected. The patterns of perigastric arterial origins were divided according to Michels' classification. The intraoperative blood loss on LAG was compared before and after MDCT angiography was introduced in the study. The LGV flowed into the portal vein in 31 patients; the splenic vein, 25 patients; and the junction of these two veins, 15 patients. The LGV passed to the dorsal and ventral sides of the common hepatic artery in 30 and 13 patients and to the dorsal and ventral sides of the splenic artery in 8 and 20 patients, respectively. Michels' type II was found in one patient; type V, in three patients; and type VI, in two patients. The LGV location detected b...Continue Reading

References

Jan 29, 1999·Annals of Surgery·Y AdachiK Akazawa
May 2, 2002·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Ichiro UyamaAkitake Hasumi
Jun 23, 2004·AJR. American Journal of Roentgenology·Mitsuru MatsukiNobuhiko Tanigawa
Apr 3, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M-C KimH-H Kim
Apr 8, 2010·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Kentaro KawasakiTakeshi Nakamura
May 17, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·UNKNOWN Japanese Gastric Cancer Association

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Citations

Mar 18, 2015·Journal of Vascular and Interventional Radiology : JVIR·Clifford R WeissAravind Arepally
Jul 10, 2016·Surgical and Radiologic Anatomy : SRA·Yongyou WuChungen Xing
Jan 1, 2016·Journal of Computer Assisted Tomography·Cen ShiHuan Zhang
Feb 6, 2020·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Adam WhitleyDavid Kachlík
Feb 26, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Zhi Long WangJia Fu Ji
Jun 17, 2015·World Journal of Gastroenterology : WJG·Yuan HuangYan-Jun Zeng
Mar 17, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Yuya SatoMasanori Terashima

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