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Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study

  • Zirui He
  • Hao Su
  • Kai Ye
  • Yueming Sun
  • Yincong Guo
  • Quan Wang
  • Yong Li
  • Dechang Diao
  • Chunkang Yang
  • Nan Wang
  • Ang Li
  • WeiDong Tong
  • Peirong Ding
  • Yi Xiao
  • Xiaojun Zhou
  • Zhangfa Song
  • Su Yan
  • Hongwei Yao
  • Wenjian Meng
  • Donglei Zhou
  • Anlong Zhu
  • Yuan Gao
  • Hao Wang
  • Yiming Zhou
  • Xinxiang Li
  • Liang Kang
  • Minhua ZhengEmail author
  • Bo FengEmail author
2019 SAGES Oral
  • 63 Downloads

Abstract

Background

As a key landmark during laparoscopic right colectomy, the classification and variation of the gastrocolic trunk of Henle (GTH) remains to be clarified. The aim of this nationwide multicenter study was to describe the characteristics of the GTH intra-operatively during laparoscopic right colectomies.

Methods

Three hundred seventy-one patients who underwent laparoscopic right colectomies from January 2018 to March 2019 in 25 hospitals across China were enrolled in the study. The length of the GTH, the classification with a precise description of confluent tributaries, and other variations were analyzed.

Results

Of the 371 patients, 363 had a GTH. The proportion of type-0, type-I, type-II, and type-III was 15.2% (n = 55), 54.8% (n = 199), 25.3% (n = 92), and 4.7% (n = 17), respectively. The average length of the GTH was 8.5 mm, ranging from 2 to 30 mm.

Conclusions

This is the first multicenter study with a large sample by which the GTH was classified based on laparoscopic intraoperative observation. Variations in the GTH were classified into four types based on the number of colic drainage veins (right colic, superior right colic, middle colic, accessory middle colic, and ileocolic veins), among which the right colic vein was the most common. The length of the GTH was relatively short, and thus might carry a risk of bleeding. Further clinical data should be correlated with the characteristics of the GTH.

Keywords

Gastrocolic trunk of Henle Laparoscopic right colectomy Classification Anatomic variation 

Notes

Acknowledgements

Special thanks to the supports of the Chinese Society of Laparoscopic and Endoscopic Surgeons and the Chinese Society of Colorectal Surgeons to this study.

Funding

This work was supported by Shanghai Shen-kang Hospital Development Centre (16CR1011A), Shanghai Municipal Commission of Health and Family Planning Program (201640030), Shanghai Translational Medicine Collaborative Innovation Center Program (TM201701) and Natural Science Fund of Shanghai(18ZR1424100).

Compliance with ethical standards

Disclosures

Drs. Zirui He, Hao Su, Kai Ye, Yueming Sun, Yincong Guo, Quan Wang, Yong Li, Dechang Diao, Chunkang Yang, Nan Wang, Ang Li, WeiDong Tong, Peirong Ding, Yi Xiao, Xiaojun Zhou, Zhangfa Song, Su Yan, Hongwei Yao, Wenjian Meng, Donglei Zhou, Anlong Zhu, Yuan Gao, Hao Wang, Yiming Zhou, Xinxiang Li, Liang Kang, Minhua Zheng and Bo Feng have no conflict of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Zirui He
    • 1
  • Hao Su
    • 1
  • Kai Ye
    • 2
  • Yueming Sun
    • 3
  • Yincong Guo
    • 4
  • Quan Wang
    • 5
  • Yong Li
    • 6
  • Dechang Diao
    • 7
  • Chunkang Yang
    • 8
  • Nan Wang
    • 9
  • Ang Li
    • 10
  • WeiDong Tong
    • 11
  • Peirong Ding
    • 12
  • Yi Xiao
    • 13
  • Xiaojun Zhou
    • 14
  • Zhangfa Song
    • 15
  • Su Yan
    • 16
  • Hongwei Yao
    • 17
  • Wenjian Meng
    • 18
  • Donglei Zhou
    • 19
  • Anlong Zhu
    • 20
  • Yuan Gao
    • 21
  • Hao Wang
    • 22
  • Yiming Zhou
    • 23
  • Xinxiang Li
    • 24
  • Liang Kang
    • 25
  • Minhua Zheng
    • 1
    Email author
  • Bo Feng
    • 1
    Email author
  1. 1.Ruijin Hospital Shanghai Jiaotong University School of MedicineShanghaiChina
  2. 2.Second Affiliated Hospital of Fujian Medical UniversityQuanzhouChina
  3. 3.The First Affiliated Hospital of Nanjing Medical UniversityNanjingChina
  4. 4.Zhangzhou Affiliated Hospital of Fujian Medical UniversityZhangzhouChina
  5. 5.The First Hospital of Jilin UniversityChangchunChina
  6. 6.Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhouChina
  7. 7.Guangdong Provincial Hospital of Traditional Chinese MedicineGuangzhouChina
  8. 8.Fujian Cancer Hospital and Fujian Medical University Cancer HospitalFuzhouChina
  9. 9.Tangdu HospitalAir Force Medical UniversityXi’anChina
  10. 10.Xuanwu Hospital Capital Medical UniversityBeijingChina
  11. 11.Daping HospitalArmy Medical UniversityChongqingChina
  12. 12.Sun Yat-Sen University Cancer CenterGuangzhouChina
  13. 13.Peking Union Medical Collage HospitalChinese Academy of Medical SciencesBeijingChina
  14. 14.The First Affiliated Hospital of Soochow UniversitySuzhouChina
  15. 15.Sir Run Run Shaw Hospital of Zhejiang UniversityHangzhouChina
  16. 16.Qinghai University Affiliated HospitalXiningChina
  17. 17.Beijing Friendship HospitalCapital Medical UniversityBeijingChina
  18. 18.West China HospitalNanchongChina
  19. 19.Shanghai Tenth People’s Hospital of Tongji UniversityShanghaiChina
  20. 20.First Affiliated Hospital of Harbin Medical UniversityHarbinChina
  21. 21.Affiliated Hospital of Qingdao UniversityQingdaoChina
  22. 22.Changhai HospitalNavy Military Medical UniversityShanghaiChina
  23. 23.HuaShan HospitalFudan University Shanghai Medical CollegeShanghaiChina
  24. 24.Fudan University Shanghai Cancer CenterShanghaiChina
  25. 25.The Sixth Affiliated Hospital of Sun Yat-Sen UniversityGuangzhouChina

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