Navigating the mesentery: part <scp>II</scp>. Vascular abnormalities and a review of the literature

Nesgaard, Jens Marius; Štimec, Bojan; Bakka, Arne; Edwin, Bjørn; Ignjatović, Dejan

doi:10.1111/codi.13592

Cited by 16 publications

(13 citation statements)

References 28 publications

(14 reference statements)

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“…This is especially crucial due to the great number of known normal variations and vascular abnormalities. [25][26][27] This allows us to ensure completeness of D3 lymph node harvesting regardless of complex vascular anatomy and especially with regard to the crossing pattern of the ICA. Dissection of lymph nodes located in the posterior ileocolic compartment is often performed inadequately.…”

Section: Discussionmentioning

confidence: 99%

Introducing Anatomically Correct CT-Guided Laparoscopic Right Colectomy with D3 Anterior Posterior Extended Mesenterectomy: Initial Experience and Technical Pitfalls

Gaupset

Nesgaard

Kazaryan

et al. 2018

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Introducing Anatomically Correct CT-Guided Laparoscopic Right Colectomy with D3 Anterior Posterior Extended Mesenterectomy: Initial Experience and Technical Pitfalls

Gaupset

Nesgaard

Kazaryan

et al. 2018

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…The final decision on which segment to employ depends on the preference and experience of each surgical team 2, 4 , 5 . In order to evaluate the type of colic graft to perform, a preoperative study with AngioTC 3-D of the abdomen and pelvis is very useful, which has 97.1% anatomical diagnostic accuracy of the mesenteric and colic vascular blood supply 8 . The rate of complications reported include necrosis of the flap (0-14%), anastomotic leaks (0-50%), anastomotic stenosis (0-32%), respiratory complications (10-42%), postoperative mortality (0-16.7%) 1 , 2 , 4 , 5 .…”

Section: Discussionmentioning

confidence: 99%

Pharyngo-Ileo-Colo-Anastomosis With Micro-Vascular Blood Supply Augmentation for Esophago-Gastric Replacement Due to Esophago-Gastric Necrosis After Caustic Ingestion

Braghetto¹,

Figueroa²,

Sanhueza³

et al. 2018

ABCD, arq. bras. cir. dig.

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Background : Complete esophago-gastric necrosis after caustic ingestion is a challenging surgical scenario for reconstruction of the upper digestive transit. Aim : To present a surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy due to esophageal and gastric necrosis Method: The transit was re-established by means of a pharyngo-ileo-colic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Colo-duodeno-anastomosis and ileo-transverse colic anastomosis were performed for complete digestive transit reconstruction. Result: This procedure was applied in a case of 41 years male attempted suicide by ingesting alkali caustic liquid (concentrated sodium hydroxide). Total necrosis of the esophagus and stomach occurred, which required initially total esophago-gastrectomy, closure at the level of the crico-pharyngeal sphincter and jejunostomy for enteral feeding with a highly deteriorated quality of life. The procedure was performed later and there were no major early and late postoperative complications and normal nutritional conditions were re-stablished. Conclusion: The procedure is feasible and must be managed by multidisciplinary team in order to re-establish a normal quality of life.

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“…Una forma de planificar qué tipo de colgajo colónico realizar, es empleando un AngioTC 3-D de abdomen y pelvis, el cual posee un 97,1% de certeza diagnóstica anatómica del árbol vascular mesentérico y cólico, una sensibilidad de 85,7%, especificidad del 95,2%, un valor predictivo positivo y negativo de 94,7% y 97,5% respectivamente 16,17 .…”

Section: Discussionunclassified

Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

et al. 2018

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Pharyngo-ileo-colo-anastomosis with micro-vascular blood supply augmentation for surgical reconstruction of the upper digestive tract Introduction: Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit. Objective: The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy. Method: Reconstruction of digestive transit was reestablished by means of a pharyngo-ileo-colonic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Results: There were not major postoperative complications and at long term follow-up, normal oral nutrition and quality of life improvement was observed. Conclusion: This is a surgical procedure for treatment of patients with pharyngeal strictures without any possibility to indicate other less complex procedures.

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Navigating the mesentery: part II. Vascular abnormalities and a review of the literature

Abstract: Vascular abnormalities occur frequently. Arterial abnormalities are a hazard when inadvertent injury occurs during surgery. Preoperative knowledge of a bifid superior mesenteric vein is useful.

Cited by 16 publications

References 28 publications

Introducing Anatomically Correct CT-Guided Laparoscopic Right Colectomy with D3 Anterior Posterior Extended Mesenterectomy: Initial Experience and Technical Pitfalls

Introducing Anatomically Correct CT-Guided Laparoscopic Right Colectomy with D3 Anterior Posterior Extended Mesenterectomy: Initial Experience and Technical Pitfalls

Pharyngo-Ileo-Colo-Anastomosis With Micro-Vascular Blood Supply Augmentation for Esophago-Gastric Replacement Due to Esophago-Gastric Necrosis After Caustic Ingestion

Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

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