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Abstract
Background: This study aimed to analyze right colonic arterial variations in laparoscopic right colectomy with complete mesocolic excision and central vascular ligation.
Methods: A descriptive and longitudinal study on 44 patients had been performed laparoscopic right colectomy with CME (complete mesocolic excision) and CVL (central vascular ligation) due to right - side colon cancer in Gastrointestinal Surgery Department of Binh Dan Hospital from Jan 2017 to Jan 2020.
Results: The superior mesenteric artery and vein were present in all cases; the superior mesenteric artery was on left side of the superior mesenteric vein. The ileocolic artery and vein occurred in 100% (44/44). The ileocolic artery crossed anterior to the superior mesenteric vein in 22 of 44 cases (50%). Right colic artery appeared in 17 of 44 cases (38,6%). Middle colic artery and middle colic vein were found in all cases.
Conclustion: The variations of vascular recorded during laparoscopic right colectomy with CME are quite diverse. This information may be helpful for colorectal surgeons to reduce vascular complications when performing laparoscopic right colectomy with CME and CVL.
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| Published | 28-12-2024 | |
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| Issue | No. 94 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.94.7 | |
| Keywords | Biến thể giải phẫu mạch máu, phẫu thuật nội soi cắt đại tràng phải lấy toàn bộ mạc treo đại tràng, thắt mạch máu tận gốc Vascular anatomic variation, laparoscopic right colectomy with CME |
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