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Three-dimensional computed tomographic angiography with computed tomographic colonography for laparoscopic colorectal surgery

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Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Purpose

To prospectively correlate the preoperative vessel anatomy in three-dimensional computed tomographic angiography with computed tomographic colonography (3D-CTA with CTC) with that in laparoscopic surgery for colorectal cancer.

Methods

The study protocol was approved by our institutional review board. The study population consisted of 101 patients with colon cancer who underwent 3D-CTA with CTC between June 2016 and January 2018. Two radiologists assessed the branching patterns of sigmoid arteries (SAs) and right colonic artery (RCA), the position between the ileocolic artery (ICA) and superior mesenteric vein (SMV), and the existence of an accessory middle colonic artery (aMCA). The vessel anatomy on 3D-CTA with CTC was correlated with that of intraoperative findings.

Results

Ninety-eight examinations (97.0%) were technically successful. Between preoperative and intraoperative vessel anatomy, the branching patterns of SAs were concordant in all 29 cases with rectosigmoid and descending colon cancer. The branching patterns of RCA and the position between the ICA and SMV were completely concordant in 32 cases of cecal and ascending colon cancer. No aMCA was identified either intraoperatively or by imaging analysis.

Conclusions

3D-CTA with CTC guided the surgeons to determine the resection margin of the relevant vessels for laparoscopic colorectal surgery.

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Funding

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Authors and Affiliations

  1. Department of Radiology, St Marianna University School of Medicine, Yokohama City Seibu Hospital, 1197-1, Yasashicho, Asahi-Ward, Yokohama, 241-0811, Kanagawa, Japan

    Atsushi Hiroishi, Takayuki Yamada & Tsuyoshi Morimoto

  2. Department of Gastrointestinal Surgery, St Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Kanagawa, Japan

    Kuniyasu Horikoshi

  3. Department of Radiology, St Marianna University School of Medicine, Kawasaki, Kanagawa, Japan

    Yasuo Nakajima

Authors
  1. Atsushi Hiroishi
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  2. Takayuki Yamada
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  3. Tsuyoshi Morimoto
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  4. Kuniyasu Horikoshi
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  5. Yasuo Nakajima
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Corresponding author

Correspondence to Atsushi Hiroishi.

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Ethical approval

The study protocol was approved by the local institutional review board and was conducted in accordance with the ethical standards of the Helsinki Declaration of 2013.

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Hiroishi, A., Yamada, T., Morimoto, T. et al. Three-dimensional computed tomographic angiography with computed tomographic colonography for laparoscopic colorectal surgery. Jpn J Radiol 36, 698–705 (2018). https://doi.org/10.1007/s11604-018-0775-7

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  • DOI: https://doi.org/10.1007/s11604-018-0775-7

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