Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography
Abstract Background To perform laparoscopic gastrectomy safely, we aimed to comprehensively re-evaluate perigastric vessel anatomies using a three-dimensional angiography reconstructed from enhanced multidetector-row computed tomography data. Methods Perigastric vessel anatomy was preoperatively ana...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01836-0 |
| _version_ | 1811304648211955712 |
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| author | Ichirota Iino Hirotoshi Kikuchi Toshiyuki Suzuki Toshiki Kawabata Osamu Jindo Akihiro Uno Atsuko Fukazawa Keigo Matsumoto Hideto Ochiai Takanori Sakaguchi Hiroya Takeuchi Hiroyuki Konno Shohachi Suzuki |
| author_facet | Ichirota Iino Hirotoshi Kikuchi Toshiyuki Suzuki Toshiki Kawabata Osamu Jindo Akihiro Uno Atsuko Fukazawa Keigo Matsumoto Hideto Ochiai Takanori Sakaguchi Hiroya Takeuchi Hiroyuki Konno Shohachi Suzuki |
| author_sort | Ichirota Iino |
| collection | DOAJ |
| description | Abstract Background To perform laparoscopic gastrectomy safely, we aimed to comprehensively re-evaluate perigastric vessel anatomies using a three-dimensional angiography reconstructed from enhanced multidetector-row computed tomography data. Methods Perigastric vessel anatomy was preoperatively analyzed using a multidetector-row computed tomography-based three-dimensional angiography reconstructed in 127 patients undergoing gastric surgery. Results Of the 67 left gastric veins that ran along the dorsal side of the arteries, 59 (88.1%) ran along the dorsal side of the common hepatic artery and flowed into the portal vein. In 18 cases, a common trunk of one to three left gastric arteries and the replaced left hepatic artery was observed. The left inferior phrenic artery ramified from the left gastric artery in 5.5% of the cases. The right gastric artery was classified into distal (73.2%), caudal (18.1%), and proximal (8.7%) types. The infra-pyloric artery was also classified into distal (64.6%), caudal (26.0%), and proximal (9.4%) types. The posterior gastric artery branched as a common trunk with the superior polar artery in the proximal (37.9%) and distal (18.4%) regions of the splenic artery. The left gastroepiploic artery ramified from the splenic (18.1%) and inferior terminal arteries (81.9%). No, one, and two gastric branches of the left gastroepiploic artery, which ramified between the roots of the left gastroepiploic artery and its omental branch, were found in 36.5%, 49.2%, and 14.3% of the cases, respectively. Conclusions Preoperative 3D angiography is useful for the precise evaluation of perigastric vessel anatomies, and may help us to perform laparoscopic gastrectomy and robotic surgery safely. |
| first_indexed | 2024-04-13T08:10:04Z |
| format | Article |
| id | doaj.art-338abf3e00654bca9ad755da6552bbb8 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-13T08:10:04Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-338abf3e00654bca9ad755da6552bbb82022-12-22T02:55:00ZengBMCBMC Surgery1471-24822022-11-0122111010.1186/s12893-022-01836-0Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomographyIchirota Iino0Hirotoshi Kikuchi1Toshiyuki Suzuki2Toshiki Kawabata3Osamu Jindo4Akihiro Uno5Atsuko Fukazawa6Keigo Matsumoto7Hideto Ochiai8Takanori Sakaguchi9Hiroya Takeuchi10Hiroyuki Konno11Shohachi Suzuki12Department of Surgery, Iwata City HospitalDepartment of Surgery, Hamamatsu University School of MedicineDepartment of Radiological Technology, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Iwata City HospitalDepartment of Surgery, Hamamatsu University School of MedicineHamamatsu University School of MedicineDepartment of Surgery, Iwata City HospitalAbstract Background To perform laparoscopic gastrectomy safely, we aimed to comprehensively re-evaluate perigastric vessel anatomies using a three-dimensional angiography reconstructed from enhanced multidetector-row computed tomography data. Methods Perigastric vessel anatomy was preoperatively analyzed using a multidetector-row computed tomography-based three-dimensional angiography reconstructed in 127 patients undergoing gastric surgery. Results Of the 67 left gastric veins that ran along the dorsal side of the arteries, 59 (88.1%) ran along the dorsal side of the common hepatic artery and flowed into the portal vein. In 18 cases, a common trunk of one to three left gastric arteries and the replaced left hepatic artery was observed. The left inferior phrenic artery ramified from the left gastric artery in 5.5% of the cases. The right gastric artery was classified into distal (73.2%), caudal (18.1%), and proximal (8.7%) types. The infra-pyloric artery was also classified into distal (64.6%), caudal (26.0%), and proximal (9.4%) types. The posterior gastric artery branched as a common trunk with the superior polar artery in the proximal (37.9%) and distal (18.4%) regions of the splenic artery. The left gastroepiploic artery ramified from the splenic (18.1%) and inferior terminal arteries (81.9%). No, one, and two gastric branches of the left gastroepiploic artery, which ramified between the roots of the left gastroepiploic artery and its omental branch, were found in 36.5%, 49.2%, and 14.3% of the cases, respectively. Conclusions Preoperative 3D angiography is useful for the precise evaluation of perigastric vessel anatomies, and may help us to perform laparoscopic gastrectomy and robotic surgery safely.https://doi.org/10.1186/s12893-022-01836-0Laparoscopic gastrectomyPerigastric vesselsVessel anatomy3D angiography |
| spellingShingle | Ichirota Iino Hirotoshi Kikuchi Toshiyuki Suzuki Toshiki Kawabata Osamu Jindo Akihiro Uno Atsuko Fukazawa Keigo Matsumoto Hideto Ochiai Takanori Sakaguchi Hiroya Takeuchi Hiroyuki Konno Shohachi Suzuki Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography BMC Surgery Laparoscopic gastrectomy Perigastric vessels Vessel anatomy 3D angiography |
| title | Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography |
| title_full | Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography |
| title_fullStr | Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography |
| title_full_unstemmed | Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography |
| title_short | Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography |
| title_sort | comprehensive evaluation of three dimensional anatomy of perigastric vessels using enhanced multidetector row computed tomography |
| topic | Laparoscopic gastrectomy Perigastric vessels Vessel anatomy 3D angiography |
| url | https://doi.org/10.1186/s12893-022-01836-0 |
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