Three-dimensional computed tomography analysis of the left gastric vein in a pancreatectomy.

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
Lionel RebiboJean-Marc Regimbeau

Abstract

During a pancreatectomy, the left gastric vein (LGV) has an important role in the venous drainage of the stomach (total pancreatectomy, left splenopancreatectomy, pancreatoduodenectomy with venous resection and pylorus-preserving pancreaticoduodenectomy). Pre-operative knowledge of the LGV's termination is necessary for adequate protection of this vein during dissection. The objective of the present study was to analyse the location of the LGV's termination in a patient population and facilitate its identification in at-risk situations. Abdominal computed tomography (CT) images of 86 pancreatic tumour patients (20 of whom underwent surgery), who were treated in our institution between October 2009 and October 2010, were reviewed. Arterial-phase and portal-phase helical CT with three-dimensional reconstruction was performed in all cases. The location of the termination of the LGV was determined and (when the LGV merged with the splenic vein or the splenomesenteric trunk) the distance between the termination and the origin of the portal vein (PV). The correlation between CT imaging data and intra-operative findings was studied. The LGV was identified on all CT images. In 65% of cases (n= 56), the LGV terminated in the PV (upstrea...Continue Reading

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Citations

Sep 28, 2014·Morphologie : Bulletin De L'Association Des Anatomistes·L RebiboJ-M Regimbeau
Mar 6, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Louise BarbierAlain Sauvanet
Dec 1, 2015·Surgical and Radiologic Anatomy : SRA·Kimaporn KhamanarongNarong Khuntikeo
Aug 28, 2014·Surgical Endoscopy·Ugo BoggiFranco Mosca
Jul 10, 2016·Surgical and Radiologic Anatomy : SRA·Yongyou WuChungen Xing
Jan 25, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ionut NegoiYosuke Inoue
Nov 28, 2019·World Journal of Surgery·Satoshi MatsuiMinoru Tanabe
Nov 17, 2017·Journal of Hepato-biliary-pancreatic Sciences·Akimasa NakaoYasuhiro Kodera
Feb 3, 2021·Journal of Hepato-biliary-pancreatic Sciences·Hitoe NishinoUNKNOWN Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Feb 4, 2021·Journal of Hepato-biliary-pancreatic Sciences·Kohei NakataUNKNOWN Study Group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP Surgery)
Mar 20, 2021·Abdominal Radiology·Priya AppanrajM Venugopal
Nov 8, 2018·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Atsushi ObaAkio Saiura

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