Analysis of anatomic variants of mesenteric veins by 3-dimensional portography using multidetector-row computed tomography

Sakaguchi, Takanori; Suzuki, Shinichi; Morita, Yoshifumi; Oishi, Kyohei; Suzuki, Atsushi; Fukumoto, Koji; Inaba, Kazuaki; Kamiya, Kinji; Ota, Manabu; Setoguchi, Tomohiko; Takehara, Yasuo; Nasu, Hatsuko; Nakamura, Satoshi; Konno, Hiroyuki

doi:10.1016/j.amjsurg.2009.05.017

Cited by 83 publications

(96 citation statements)

References 15 publications

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“…This part of the superior mesenteric vessels is by some authors called the "surgical trunk" [14][15][16]. However, the close relationship of the various embryologically defined components of the viscera entails that vascular architecture, especially venous drainage, is complex and variable [14,17,18] . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 Based on these considerations it is mandatory for right-sided CME to meticulously identify the specific course of the veins in this area, which differ substantially from that of the arteries.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the transverse colon revisited with respect to complete mesocolic excision and possible pathways of aberrant lymphatic tumor spread

Stelzner

Hohenberger

Weber

et al. 2015

Int J Colorectal Dis

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Section: Discussionmentioning

confidence: 99%

Anatomy of the transverse colon revisited with respect to complete mesocolic excision and possible pathways of aberrant lymphatic tumor spread

Stelzner

Hohenberger

Weber

et al. 2015

Int J Colorectal Dis

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“…Some of anatomy textbooks diagrammatically illustrate the inferior mesenteric vein joining and draining into the splenic vein [10][11][12]. According to recent literature, however, the inferior mesenteric vein has also been reported to join and drain into the superior mesenteric vein, the junction between the splenic vein and the superior mesenteric vein, or into other mesenteric venous drainage sites [2,[13][14][15]. However, many textbooks do not address the variability of IMV drainage pattern into various venous drainage sites [16,17] Some textbooks may acknowledge this mesenteric vasculature variation and note the IMV join and drain into SMV and into junction between SV & SMV [18,19].…”

Section: Resultsmentioning

confidence: 99%

Variations in Drainage Pattern of Inferior Mesentric Vein

Kaur¹,

Sharma²,

Sharma³

et al. 2017

IJAR

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“…We classified LGV joining patterns according to our previous classification [14]. The LGV joined the portal vein (type P) in 46 (51.7 %) cases, the splenic vein (type SP) in 30 (33.7 %) cases, and the splenoportal confluence (type C) in 13 (14.6 %) cases.…”

Section: Resultsmentioning

confidence: 99%

“…The protocol used in this study is described in our previous report [14]. Images were obtained using an Aquillion MULTI 64-MDCT scanner (Toshiba Medical Systems, Tokyo, Japan).…”

Section: Computed Tomography Protocolmentioning

confidence: 99%

Usefulness of three-dimensional angiographic analysis of perigastric vessels before laparoscopic gastrectomy

et al. 2012

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Background Recognition of perigastric vessel anatomy is important to safely perform gastric surgery, especially in the case of laparoscopic gastrectomy. This study was designed to reevaluate the efficacy of preoperative three-dimensional (3D) angiography reconstructed from enhanced multidetector-row computed tomography (MDCT) data and to classify right gastric artery (RGA) branching patterns. Methods Perigastric vessel anatomy was preoperatively analyzed using MDCT-based 3D angiography reconstructed by computer software in patients undergoing laparotomic (n = 75) and laparoscopic (n = 25) gastrectomy. Results were compared with intraoperative findings in all cases, and were also compared with maximum intensity projection (MIP) imaging, which is similar to conventional angiography, in 10 patients. Results Preoperative diagnoses by 3D angiography were identical to intraoperative findings. The rates of branching patterns of the celiac artery and left gastric vein were comparable with previous reports. The detection rate of the right gastric artery (RGA) was 77.0 %. Branching patterns of the hepatic artery were classified into four types: right hepatic artery (RHA) ? left hepatic artery (LHA) type, replaced RHA ? LHA type, RHA ? replaced LHA type, and replaced RHA ? replaced LHA type. RGA ramification patterns were classified into three types according to hepatic arterial running patterns: distal (68.8 %), proximal (14.3 %), and caudal (16.9 %). Because of vessel overlapping, RGA ramified points were misdiagnosed under MIP images in two of ten cases (20 %). Conclusions Preoperative 3D angiography is useful for a new system of classifying RGA ramification patterns into three types. With this system, surgeons can perform laparoscopic gastrectomy with lymph node dissection more safely.

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Analysis of anatomic variants of mesenteric veins by 3-dimensional portography using multidetector-row computed tomography

Cited by 83 publications

References 15 publications

Anatomy of the transverse colon revisited with respect to complete mesocolic excision and possible pathways of aberrant lymphatic tumor spread

Anatomy of the transverse colon revisited with respect to complete mesocolic excision and possible pathways of aberrant lymphatic tumor spread

Variations in Drainage Pattern of Inferior Mesentric Vein

Usefulness of three-dimensional angiographic analysis of perigastric vessels before laparoscopic gastrectomy

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