Role of CT angiography with three-dimensional reconstruction of mesenteric vessels in laparoscopic colorectal resections: a randomized controlled trial

Mari, Francesco Saverio; Nigri, Giuseppe; Pancaldi, Alessandra; Cecco, Carlo N. De; Gasparrini, Marcello; Dall'Oglio, Anna; Pindozzi, Fioralba; Laghi, Andréa; Brescia, Antonio

doi:10.1007/s00464-012-2710-9

Cited by 48 publications

(24 citation statements)

References 23 publications

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“…Several studies demonstrated the clinical value of 3‐D CT angiography for evaluating the vascular anatomy . VSA constructed by 3‐D CT was reported to be a useful alternative to conventional angiography for preoperative assessment in gastric and colorectal cancer surgery , as well as in liver and kidney transplantation , as originally reported. We introduced VSA for the preoperative evaluation of the anatomy of the mesocolic vessels when we began laparoscopic resections of transverse colon cancers with advanced stage lesions; we did this because we needed to approach the more proximal portions of the GCT and MCA during resection.…”

Section: Discussionmentioning

confidence: 77%

“…Several studies demonstrated the clinical value of 3-D CT angiography for evaluating the vascular anatomy (17,18). VSA constructed by 3-D CT was reported to be a useful alternative to conventional angiography for preoperative assessment in gastric and colorectal cancer surgery (19,20), as well as in liver and kidney transplantation (21,22), as originally Figure 2 The right gastroepiploic vein (RGEV) is identified, which connects the accessory right colic vein. The gauze can be seen through the thin membrane of the transverse mesocolon.…”

Section: Discussionmentioning

confidence: 99%

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Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Koinuma

Horie

Ito

et al. 2018

Asian J Endoscop Surgery

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Koinuma

Horie

Ito

et al. 2018

Asian J Endoscop Surgery

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“…In the present study, 3D-CTA data was used to diagnose 86 patients with acute CAD, 34 with myocardial infarction and 16 with stable angina with significantly greater accuracy than CCA. 3D-CTA also presented a direct role during the surgery for patients with CAD (20). The results demonstrate that 3D-CTA is able to accurately identify the calcified plaque and RVTC for patients with acute CAD, which may be an efficient method for the diagnosis of acute CAD patients.…”

Section: Discussionmentioning

confidence: 80%

“…3D-CTA diagnosis has been used as an initial screening tool in lieu of digital subtraction angiography to rule out vascular diseases in idiopathic spontaneous subarachnoid hemorrhage (19). Furthermore, a randomized controlled trial demonstrated that 3D-CTA is advantageous compared with conventional coronary angiography (CCA) when performing laparoscopic colorectal resection for patient's mesenteric vascular anatomy (20). However, the efficacy of 3D-CTA as a diagnostic tool for CAD remains to be elucidated.…”

Section: Introductionmentioning

confidence: 99%

The diagnostic value of three‑dimensional CT angiography for patients with acute coronary artery disease

Hao

Shi

et al. 2018

Exp Ther Med

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Computed tomography angiography (CTA) is an efficient method for the diagnosis of heart disease. However, few contemporary studies have evaluated the prognostic value of three-dimensional (3D)-CTA for patients with acute coronary artery disease. The aim of the present study was to investigate the diagnostic value of 3D-CTA for patients with acute coronary artery disease. A total of 136 patients with suspected acute coronary artery disease were recruited and received conventional coronary angiography (CCA) and 3D-CTA. 3D-CTA was used to assess calcified plaques in the coronary arteries (CCTA), the ratio of calcified plaque volume to vessel circumference (RVTC) and diagnostic accuracy. The results revealed that 3D-CTA was a more effective diagnostic method for identifying calcified plaques in patients with acute coronary artery disease compared with CCA. 3D-CTA demonstrated a significantly better area under curve, sensitivity, specificity, positive predictive value and negative predictive value compared with CCA (P<0.01). In the present study, 3D-CTA was used to successfully diagnose 86 patients with acute coronary artery disease, 34 with myocardial infarction and 16 with stable angina. 3D-CTA images clearly showed global noise levels and target-to-background ratios determined by manually delineated coronary plaque lesions compared with CCA. Furthermore, 3D-CTA was significantly better for discriminating ischemia compared with CCA (P<0.01). In conclusion, the results of the present study suggest that 3D-CTA provides superior diagnostic performance compared with CCA alone in patients with acute coronary artery disease.

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“…El conocimiento previo de la anatomía vascular mesentérica del paciente reduce el tiempo quirúrgico y la incidencia de complicaciones intraoperatorias 155 .…”

Section: Ubicación Y Semiología De Los Procesos Neoplásicosunclassified

Utilidad de la Colonografía-TC o Colonoscopia virtual en la patología colorrectal

Molina¹

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contado con su apoyo, a lo largo de mi vida profesional .A Santiago F. Marco Doménech, mi director de tesis, por todo el esfuerzo realizado en su labor docente y el tiempo invertido en el desarrollo de esta tesis.Ha sido un placer trabajar con él.A mi tutora Mª Loreto Macía Soler, quien desde el principio me ha facilitado mucho las cosas para hacer esta tesis doctoral.Dar las gracias todos mis compañeros radiólogos por su apoyo y su cariño.Al personal de enfermería, auxiliares, técnicos de radiología y auxiliares administrativas por su labor profesional y su delicadeza en el trato con el paciente.Al departamento de Matemáticas de la Universidad Jaume I y en especial a Sonia Barahona Albiol por su inestimable ayuda en el manejo de datos.A todos los pacientes de este estudio ya que sin ellos no hubiera sido posible.A mi madre y hermanos, a quienes debo todo lo que soy.A mi familia por todo el tiempo que me cedieron para la elaboración de este proyecto, Victoria y Víctor mis hijos que son esa parte de mi ser en donde me veo reflejada con pequeños gestos y por último a Víctor mi compañero de viaje que es el mejor ejemplo a seguir por esa inmensa tenacidad con que vive. V (José de Espronceda 1808-1842)A mi padre. INTRODUCCIÓNEl cáncer colorrectal (CCR) es la tercera causa de muerte por cáncer en los países occidentales, el 95% de ellos se desarrolla de los adenomas así que la resección endoscópica de los mismos reduce la incidencia del CCR, lo que justifica que esta neoplasia sea una enfermedad tributaria de estudios de cribado. Hoy en día la colonoscopia óptica es el procedimiento que se considera el patrón de referencia (gold estándar) en el diagnóstico de los pólipos y del CCR.La colonoscopia virtual, aunque fue descrita por primera vez en 1994, es una técnica diagnóstica relativamente nueva, y en los últimos años esta nueva técnica está siendo considerada la única alternativa actual a la colonoscopia óptica en el diagnóstico del cáncer colorrectal. OBJETIVOEl objetivo de nuestro trabajo de investigación es evaluar la eficacia diagnóstica de la Colonografía-TC o Colonoscopia Virtual (CV) para la detección de pólipos y masas colorrectales frente a la colonoscopia óptica (CO). MATERIAL Y MÉTODORealizamos un estudio observacional, retrospectivo, descriptivo y analítico de las primeras colonoscopias virtuales realizadas en el Servicio de Radiología Diagnóstica y Terapéutica del Hospital General Universitario de Castellón, para evaluar la exactitud diagnóstica de la CV en la detección de pólipos y masas, comparándola con la CO como referencia.El estudio se realizó durante cinco años y medio, desde febrero del 2010 hasta agosto del 2015. Todos los pacientes fueron preparados con dieta baja en residuos que se iniciaba 72 horas antes de la prueba, con marcaje de heces mediante AMIDOTRIZOATO Na-MEG (Gastografin oral®), 7cc de contraste yodado diluido en desayuno, comida y cena, 48 horas antes de la prueba y 24 horas antes del estudio se les pasaba a una dieta completamente liquida que se X conseguía con un preparado farma...

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Role of CT angiography with three-dimensional reconstruction of mesenteric vessels in laparoscopic colorectal resections: a randomized controlled trial

Abstract: This study shows that prior knowledge of the patient's mesenteric vascular anatomy represents an advantage when performing laparoscopic colorectal resection.

Cited by 48 publications

References 23 publications

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

The diagnostic value of three‑dimensional CT angiography for patients with acute coronary artery disease

Utilidad de la Colonografía-TC o Colonoscopia virtual en la patología colorrectal

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