Abstract
Aims
The study aim was to provide data on pattern and length of crossing of the ileocolic artery (ICA) and right colic artery (RCA) with the superior mesenteric vein (SMV).
Methods
Specimens from 30 fresh human cadavers underwent corrosion casting. Methylacrylate was injected into the SMV and superior mesenteric artery (SMA). Length of crossing was measured with a scaleable ruler and copper wire. Values are mean (SD; range).
Results
ICA was present in all specimens and crossed posterior to the SMV in 19 (63.33%) of 30 specimens. Length of crossing was 17.01 (7.84; 7.09–42.89) mm. RCA was present in 19 (63.33%) of 30 specimens. RCA crossed anterior to SMV in 16 (84.21%) of 19 specimens. Length of crossing was 20.63 (8.09; 6.3–35.7) mm.
Conclusions
ICA was always present, crossed posterior to SMV in 60% of specimens with a crossing length of 17 mm. RCA was present in 63% of specimens, crossed anterior to the SMV in 84% of specimens with a crossing length of 20 mm. Clinical implications include arterial length left behind with main nodes, arterial bleeding and safety of laparoscopic access.
Similar content being viewed by others
References
Vandamme JP, Van der Schuren G (1976) Re-evaluation of the colic irrigation from the superior mesenteric artery. Acta Anat 95:578–588
Shatari T, Fujita M, Nozawa K et al (2003) Vascular anatomy for right colon lymphadenectomy. Surg Radiol Anat 25:86–88
Takahashi T, Mori T, Moosa AR (eds) (1991) Comprehensive textbook of oncology, 2nd ed. Williams & Wilkins, Baltimore, pp 904–933
Slanetz CA Jr, Herter FP (1972) The large intestine. In: Haagensen CD, Feind CR, Herter FP, Slanetz CA Jr, Weinberg JA (eds) The lymphatics in cancer. WB Saunders, Philadelphia, pp 489–568
Konishi F, Okada M, Nagai H, Ozawa A, Kashiwagi H, Kanazawa K (1996) Laparoscopic-assisted colectomy with lymph node dissection for invasive carcinoma of the colon. Surg Today 26:882–889
Marcello PW, Roberts PL, Rusin LC, Holubkov R, Schoetz DJ (2006) Vascular pedicle ligation techniques during laparoscopic colectomy. A prospective randomized trial. Surg Endosc 20:263–269
Bergamaschi R, Ignjatovic D (2000) More than two structures in Calot’s triangle. A postmortem study. Surg Endosc 14:354–357
Toyota S, Ohta H, Anazawa S (1995) Rationale for extent of lymph node dissection for right colon cancer. Dis Colon Rectum 38:705–711
Garcia-Ruiz A, Milsom JW, Ludwig KA, Marchesa P (1996) Right colonic arterial anatomy. Implications for laparoscopic surgery. Dis Colon Rectum 39:906–911
Yada H, Sawai K, Taniguchi H, Hoshima M, Katoh M, Takahashi T (1997) Analysis of vascular anatomy and lymph node metastases warrants radical segmental bowel resection for colon cancer. World J Surg 21:109–115
Rose J, Schneider C, Yildirim C, Geers P, Scheidbach H, Köckerling F (2004) Complications in laparoscopic colorectal surgery: results of a multicentre trial. Tech Coloproctol 8:25–28
Sonneland J, Anson BJ, Beaton LE (1958) Surgical anatomy of the arterial supply to the colon from the superior mesenteric artery based upon a study of 600 specimens. Surg Gynecol Obstet 106(4):385–398
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ignjatovic, D., Sund, S., Stimec, B. et al. Vascular relationships in right colectomy for cancer: clinical implications. Tech Coloproctol 11, 247–250 (2007). https://doi.org/10.1007/s10151-007-0359-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10151-007-0359-5