Surgical anatomy of the accessory middle colic artery: a meta‐analysis with implications for splenic flexure cancer surgery

2021 ◽  
Author(s):  
Isaac Cheruiyot ◽  
Roberto Cirocchi ◽  
Jeremiah Munguti ◽  
Justin Davies ◽  
Justus Randolph ◽  
...  
Keyword(s):  
Splenic Flexure ◽  
Meta Analysis ◽  
Surgical Anatomy ◽  
Cancer Surgery ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Splenic Flexure Cancer

Vascular anatomy of the splenic flexure, focusing on the accessory middle colic artery and vein

2019 ◽  
Vol 22 (4) ◽  
pp. 392-398 ◽  
Author(s):  
K. Murono ◽  
H. Miyake ◽  
D. Hojo ◽  
H. Nozawa ◽  
K. Kawai ◽  
...  
Keyword(s):  
Splenic Flexure ◽  
Vascular Anatomy ◽  
Middle Colic Artery ◽  
Colic Artery

scholarly journals Surgical Anatomy of the Gastrointestinal Tract and Its Vasculature in the Laboratory Rat

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Katarína Vdoviaková ◽  
Eva Petrovová ◽  
Marcela Maloveská ◽  
Lenka Krešáková ◽  
Jana Teleky ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Surgical Anatomy ◽  
Arterial System ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Rat Stomach ◽  
Left Colic Artery ◽  
Anatomical Dissection ◽  
Anatomical Relationship ◽  
Composite Lining

The aim of this study was to describe and illustrate the morphology of the stomach, liver, intestine, and their vasculature to support the planning of surgical therapeutic methods in abdominal cavity. On adult Wistar rats corrosion casts were prepared from the arterial system and Duracryl Dental and PUR SP were used as a casting medium and was performed macroscopic anatomical dissection of the stomach, liver, and intestine was performed. The rat stomach was a large, semilunar shaped sac with composite lining. On the stomach was very marked fundus, which formed a blind sac (saccus cecus). The rat liver was divided into six lobes, but without gall bladder. Intestine of the rat was simple, but cecum had a shape as a stomach. The following variations were observed in the origin of the cranial mesenteric artery. On the corrosion cast specimens we noticed the presence of the anastomosis between middle colic artery (a. colica media) and left colic artery (a. colica sinistra). We investigated the second anastomosis between middle colic artery and left colic artery. The results of this study reveal that the functional anatomical relationship between the rat stomach, liver and intestine is important for the development of surgical research in human and veterinary medicine.

scholarly journals Colonic (splenic flexure) necrosis due to thrombosis of the middle colic artery following blunt abdominal trauma

1994 ◽  
Vol 112 (3) ◽  
pp. 622-624 ◽  
Author(s):  
Raul Coimbra ◽  
José Ribeiro Aguiar ◽  
Samir Rasslan ◽  
Silvio Pires Ressurreição
Keyword(s):  
Surgical Treatment ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Splenic Flexure ◽  
Unusual Case ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Colonic Necrosis ◽  
Non Surgical Treatment

We report an unusual case of a 28-year-old man who developed a colonic necrosis due to thrombosis of the middle colic artery 18 hours following blunt abdominal trauma. Although rare, this condition can occur in those patients whom non surgical treatment was initially performed.

scholarly journals Splenic flexure cancer optimum level of vessel ligation

2017 ◽  
Vol 4 (4) ◽  
pp. 1355 ◽  
Author(s):  
T. Uma Maheswara Rao ◽  
Boddu Sankar Reddy ◽  
Supriya Chilukoti
Keyword(s):  
Cell Differentiation ◽  
Splenic Flexure ◽  
Tumor Grade ◽  
Middle Colic Artery ◽  
Distal Margin ◽  
Optimum Level ◽  
Colic Artery ◽  
Group A ◽  
Group B ◽  
Vessel Ligation

Background: Incidence of splenic flexure carcinoma is very low in colorectal cancer but often time presented in an advanced stage with high risk of obstruction, contributing poor prognosis. Aim of the study was to investigate the adequacy of vessel ligation in SFC in term of overall survival.Methods: 35 patients diagnosed with splenic flexure carcinoma enrolled and analyzed, patients categorized based on the level of vessel ligation as group-A, left branch of middle colic (LMA) and left colic artery division (LCA) compared, group-B, LCA and marginal of middle colic artery (MMC).Results: CEA marker was not significantly changed post-operatively, as it was within normal range preoperatively at an average of 9-12 µg/ml. There is no significance in staging of tumors in all stages, and recurrence of tumor is present in 5 in group A. Radical margins both proximal and distal ends are not significant. Tumor clearance achieved successfully in both arms in term of proximal margin achieved at 7.9±3.5cm in groups B and 8.3±4.1 cm in group A, p = 0.312. Distal margin reported at 8.7±4.1 cm and 8.9±3.98cm, p = 0.58, respectively. Lymph nodes are positive in group-A and group-B without any significance. Tumor size or diameter ranging from 5.1±3.1 in group-A and 4.76±3.8 in group-B. According to the cell differentiation, majority of the tumor grade turned out to be moderately differentiated cancer, rated at 14 patients (40.1%) in group A and 13 patients (37.1%) in group B. one patients found to be well or poorly differentiated cell tumors in group-A. Overall p-values were insignificant in regards tumor cell differentiation in both groups, p = 0.213. Incidence of lympho-vascular invasion reached only 3 (8.5%) vs. 4 patients (11.2%), p = 0.562, in A and B group.Conclusions: Higher level of vessel ligation has no added significance in overall outcome, but has role to lower the risk of recurrence rate in Splenic flexure carcinoma patients.

scholarly journals Risk of venous thromboembolism in patients undergoing gastric cancer surgery: protocol for a systematic review and meta-analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033267
Author(s):  
Dengfeng Wang ◽  
Yang Yu ◽  
Pengxian Tao ◽  
Dan Wang ◽  
Yajing Chen ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Systematic Review ◽  
Venous Thromboembolism ◽  
Evaluation Method ◽  
Clinical Decision Making ◽  
Meta Analysis ◽  
Cancer Surgery ◽  
Published Data ◽  
Gastric Cancer Surgery ◽  
Positive Prevention

IntroductionVenous thromboembolism (VTE) is a serious life-threatening complication in patients with gastric cancer. Abnormal coagulation function and tumour-related treatment may contribute to the occurrence of VTE. Many guidelines considered that surgical treatment would put patients with cancer at high risk of VTE, so positive prevention is needed. However, there are no studies that have systematically reviewed the postoperative risk and distribution of VTE in patients with gastric cancer. We thus conduct this systematic review to determine the risk of VTE in patients with gastric cancer undergoing surgery and provide some evidence for clinical decision-making.Methods and analysisStudies reporting the incidence of VTE after gastric cancer surgery will be included. Primary studies of randomised controlled trials, cohort studies, population-based surveys and cross-sectional studies are eligible for this review and only studies published in Chinese and English will be included. We will search the Medline, Embase, Web of Science, CBM, CNKI and Wanfang data from their inception to November 2019. Two reviewers will independently select studies and extract data. The quality of each included study will be assessed with tools corresponding to their study design. Meta-analysis will be used to pool the incidence data from included studies. Heterogeneity of the estimates across studies will be assessed, if necessary, a subgroup analysis will be performed to explore the source of heterogeneity. The Grades of Recommendation, Assessment, Development and Evaluation method is applied to assess the level of evidence obtained from this systematic review.Ethics and disseminationThis proposed systematic review and meta-analysis is based on published data, and thus ethical approval is not required. The results of this review will be sought for publication.PROSPERO registration numberCRD42019144562

Sign in / Sign up

Export Citation Format

Share Document