Can the gastrocolic trunk of Henle serve as an anatomical landmark in laparoscopic right colectomy? A postmortem anatomical study

Ignjatović, Dejan; Spasojevic, Milan; Štimec, Bojan

doi:10.1016/j.amjsurg.2009.03.010

Cited by 51 publications

(30 citation statements)

References 14 publications

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“…Although commonly not mirrored in anatomical textbooks, it has been described by several authors that the colic vein draining the region of the hepatic flexure, called the superior right colic vein, joins with the right gastroepiploic vein to form a short venous trunk that ends in the superior mesenteric vein [13,14,19,20]. This trunk was first described as the gastrocolic vein by Henle in 1868 [21].…”

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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“…However, the precise relationship of the gastrocolic trunk of Henle with the arterial branches has not yet been clarified. 15 The clinical implication of our results is that a precise anatomic knowledge may help lower the risk of vascular complications during oncologic resection for right colon cancer, especially by a laparoscopic-assisted approach. Whether the crossing pattern is ventral or dorsal to the SMV determines how these bleeding arterial stumps can be accessed without damaging the SMV.…”

Section: Discussionmentioning

confidence: 78%

Three-Dimensional Vascular Anatomy Relevant to Oncologic Resection of Right Colon Cancer

Tajima

Ishida

Ohsawa

et al. 2011

International Surgery

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We analyzed data on the three-dimensional vascular anatomy of the right colon from the operative documents of 215 patients undergoing oncologic resection for right colon cancer. The right colic artery (RCA) was absent in 146 patients (67.9%), with the ileocolic artery (ICA) crossing the superior mesenteric vein (SMV) ventrally in 78 patients (36.3%). When the RCA was present, both the ICA and the RCA crossed the SMV ventrally in 44 patients (20.5%), dorsally in 10 patients (4.7%), the RCA crossed the SMV ventrally and the ICA dorsally in 10 patients (4.7%), and the RCA crossed the SMV dorsally and the ICA ventrally in 5 patients (2.2%). The arterial branches toward the hepatic flexure crossed the SMV ventrally in 151 eligible cases: the branch originated from the common trunk of the middle colic artery in 97 patients (64.2%) and 1 and 2 arteries directly originated from the SMA in 49 patients (32.5%) and in 5 patients (3.3%), respectively. These data would be useful to safely perform lymph node dissection around the SMV.Key words: Superior mesenteric artery -Superior mesenteric vein -Colon cancerLymphadenectomy -Colectomy B ecause the superior mesenteric artery (SMA) is located mostly on the left side of the superior mesenteric vein (SMV), the branches originating directly from the SMA, such as the ileocolic artery (ICA), the right colic artery (RCA), and the middle colic artery (MCA), cross the SMV ventrally or dorsally. Familiarity with the three-dimensional relations of these arteries and the SMV would enable safer and easier performance of oncologic resection for right colon cancer. However, because Patients and MethodsThe subjects were 215 Japanese patients (127 men and 88 women) who underwent right (hemi) colectomy with standard lymph node dissection for right colon cancer through a conventional open or minilaparotomy approach 5-7 at our hospital between January 1999 and September 2009. The standard lymph node dissection included removal of the epicolic, paracolic, intermediate, and main lymph nodes, corresponding to D3-level lymph node dissection according to the General Rules for Clinical and Pathological Studies on Cancer of the Colon, Rectum, and Anus in Japan.8 Cancers of the right colon was defined as located in the cecum, ascending colon, or hepatic flexure. The median age of the patients was 68 years (range, 34-92 years). The tumors were classified according to the TNM classification 9 as stage I in 32 patients (14.9%), stage II in 90 patients (41.9%), stage III cases in 76 patients (35.3%), and stage IV in 17 patients (7.9%). In the present series, standard lymph node dissection was also performed in selected patients with stage IV disease in combination with synchronous resection of a hepatic metastasis, or in patients who were candidates for hepatic and/or pulmonary metastatectomy after effective chemotherapy. We retrospectively analyzed the three-dimensional relations of the arteries directly originating from the SMA with the SMV based on operative findings that were prospectively recorded by ...

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“…Overall, data concerning n = 2,686 subjects were included in the meta‐analysis (Descomps and De Lalaubie, ; Falconer and Griffiths, ; Couppié, ; Gillot et al, ; Chambon et al, ; Birtwisle et al, ; Mori et al, ; Crabo et al, ; Maeda, ; Zhang et al, ; Hommeyer et al, ; Ibukuro et al, ; Graf et al, ; Vedantham et al, ; O'Malley et al, ; Ito et al, ; Lange et al, ; Yamada et al, ; Yamaguchi et al, ; Ignjatovic et al, , ; Jin et al, , ; Matsuki et al, ; Sakaguchi et al, ; Walser et al, ; Khan et al, ; Li et al, ; Acar et al, ; Chi et al, ; Ogino et al, ; Cao et al, ; Miyazawa et al, ; Hu et al, ; Lee et al, ; Stelzner et al, ; Kuzu et al, ; Alsabilah et al, ). The included studies were published between 1912 and 2016, and the cohorts were investigated on three different continents: Asia (18 studies, n = 1,489 subjects) (Maeda, ; Ibukuro et al, ; Yamada et al, ; Yamaguchi et al, ; Jin et al, , ; Matsuki et al, ; Sakaguchi et al, ; Li et al, ; Acar et al, ; Chi et al, ; Ogino et al, ; Cao et al, ; Miyazawa et al, ; Hu et al, ; Lee et al, ; Kuzu et al, ; Alsabilah et al, ), Europe (12 studies, n = 789) (Descomps and De Lalaubie, ; Falconer and Griffiths, ; Couppié, ; Gillot et al, ; Chambon et al, ; Birtwisle et al, ; Zhang et al, ; Lange et al,...…”

Section: Resultsmentioning

confidence: 99%

The venous trunk of henle (gastrocolic trunk): A systematic review and meta‐analysis of its prevalence, dimensions, and tributary variations

et al. 2018

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Surgeons have recognized the clinical significance of the venous trunk of Henle during multiple pancreatic, colorectal, and hepatobiliary procedures. To date, no study has followed the principles of evidence-based anatomy to characterize it. Our aim was to find, gather, and systematize available anatomical data concerning this structure. The MEDLINE/PubMed, ScienceDirect, EMBASE, BIOSIS, SciELO, and Web of Science databases were searched. The following data were extracted: prevalence of the trunk of Henle, its mean diameter and length, the organization of its tributaries, method of anatomical assessment (cadaveric, radiological, or intraoperative), geographical origin, study sample, and known health status. Our search identified 38 records that included data from 2,686 subjects. Overall, the prevalence of the trunk of Henle was 86.9% (95% CI, 0.81-0.92) and the mean diameter was 4.2 mm. Only one study reported the length of the trunk (10.7 mm). The most common type of venous trunk (56.1%) was a vessel comprising three tributaries: gastric (right gastro-epiploic vein), pancreatic (most commonly the anterior superior pancreaticoduodenal vein), and colic (most commonly the superior right colic vein). The trunk of Henle is a common variant in the anatomy of the portal circulation. It is a highly variable vessel, but the most common type is a gastro-pancreato-colic trunk. In surgical practice, the presence of this venous trunk poses a high risk for bleeding, but it can also be a useful landmark during various abdominal procedures. Clin. Anat., 2018. © 2018 Wiley Periodicals, Inc.

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Can the gastrocolic trunk of Henle serve as an anatomical landmark in laparoscopic right colectomy? A postmortem anatomical study

Cited by 51 publications

References 14 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

Three-Dimensional Vascular Anatomy Relevant to Oncologic Resection of Right Colon Cancer

The venous trunk of henle (gastrocolic trunk): A systematic review and meta‐analysis of its prevalence, dimensions, and tributary variations

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