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

  • 2019 SAGES Oral
  • Published:
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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.

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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).

Author information

Author notes

  1. Zirui He and Hao Su contributed equally to this work.

Authors and Affiliations

  1. Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China

    Zirui He, Hao Su, Minhua Zheng & Bo Feng

  2. Second Affiliated Hospital of Fujian Medical University, Quanzhou, China

    Kai Ye

  3. The First Affiliated Hospital of Nanjing Medical University, Nanjing, China

    Yueming Sun

  4. Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China

    Yincong Guo

  5. The First Hospital of Jilin University, Changchun, China

    Quan Wang

  6. Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China

    Yong Li

  7. Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China

    Dechang Diao

  8. Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, China

    Chunkang Yang

  9. Tangdu Hospital, Air Force Medical University, Xi’an, China

    Nan Wang

  10. Xuanwu Hospital Capital Medical University, Beijing, China

    Ang Li

  11. Daping Hospital, Army Medical University, Chongqing, China

    WeiDong Tong

  12. Sun Yat-Sen University Cancer Center, Guangzhou, China

    Peirong Ding

  13. Peking Union Medical Collage Hospital, Chinese Academy of Medical Sciences, Beijing, China

    Yi Xiao

  14. The First Affiliated Hospital of Soochow University, Suzhou, China

    Xiaojun Zhou

  15. Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China

    Zhangfa Song

  16. Qinghai University Affiliated Hospital, Xining, China

    Su Yan

  17. Beijing Friendship Hospital, Capital Medical University, Beijing, China

    Hongwei Yao

  18. West China Hospital, Nanchong, China

    Wenjian Meng

  19. Shanghai Tenth People’s Hospital of Tongji University, Shanghai, China

    Donglei Zhou

  20. First Affiliated Hospital of Harbin Medical University, Harbin, China

    Anlong Zhu

  21. Affiliated Hospital of Qingdao University, Qingdao, China

    Yuan Gao

  22. Changhai Hospital, Navy Military Medical University, Shanghai, China

    Hao Wang

  23. HuaShan Hospital, Fudan University Shanghai Medical College, Shanghai, China

    Yiming Zhou

  24. Fudan University Shanghai Cancer Center, Shanghai, China

    Xinxiang Li

  25. The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

    Liang Kang

Authors
  1. Zirui He
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  2. Hao Su
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Corresponding authors

Correspondence to Minhua Zheng or Bo Feng.

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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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He, Z., Su, H., Ye, K. et al. Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study. Surg Endosc 34, 4655–4661 (2020). https://doi.org/10.1007/s00464-019-07247-2

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