Venous anatomy of the right colon: Three-dimensional topographic mapping of the gastrocolic trunk of Henle

被引:34
作者
Ignjatovic D. [1 ]
Stimec B. [2 ]
Finjord T. [1 ]
Bergamaschi R. [1 ]
机构
[1] Dept. of Research and Development, School of Medicine, Bergen University, Forde
[2] Institute of Anatomy, School of Medicine, Belgrade University
关键词
Bleeding; Gastrocolic trunk; Henle; Right hemicolectomy; Three-dimensional mapping;
D O I
10.1007/s10151-004-0045-9
中图分类号
学科分类号
摘要
Background: The gastrocolic trunk of Henle has not been described in detail in context with right hemicolectomy. The aim of this study was to define the caliber, length and three-dimensional position of the gastrocolic trunk of Henle (GTH). Methods: We studied 10 fresh (<24 h) cadavers. A corrosion cast method was employed. Cold polymerized methylacrylate was injected into the superior mesenteric vein (SMV) and artery. GTH diameter, length and point of confluence with the SMV were assessed. Results: The GTH was present in all specimens originating from the confluence of the right gastroepiploic and superior-anterior pancreaticoduodenal veins. The GTH joined the SMV at an average distance of 2.2 cm (range, 1.6-3.2 cm) from the inferior pancreatic border and it coursed towards the right side in a ventral-cranial direction. The mean caliber and length of the GTH were 5.2 mm (range, 4.8-5.8 mm) and 16.1 mm (range, 10.1-20.7 mm), respectively. Conclusions: The GTH is a short, medium-sized vessel of potential clinical significance with a consistent ventral-cranial direction.
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页码:19 / 22
页数:3
相关论文
共 9 条
[1]  
Skandalakis J.E., Gray S.W., Rowe J.S., Skandalakis L.J., Anatomical complications of pancreatic surgery, Contemp Surg, 15, pp. 31-34, (1979)
[2]  
Henle J., Handbuch der Systematischen Anatomie des Menschen III, (1868)
[3]  
Voiglio E.J., Boutillier Du Retail C., Neidhardt J.P., Caillot J.L., Barale F., Mertens P., Gastrocolic vein. Definition and report of two cases of avulsion, Surg Radiol Anat, 20, pp. 197-201, (1998)
[4]  
Yamaguchi S., Kuroyanagi H., Milsom J.W., Sim R., Shimada H., Venous anatomy of the right colon. Precise structure of the major veins and gastrocolic trunk in 58 cadavers, Dis Colon Rectum, 45, pp. 1337-1340, (2002)
[5]  
Lange J.F., Koppert S., Van Eyck C.H.J., Et al., The gastrocolic trunk of Henle in pancreatic surgery: An anatomo-clinical study, J Hepatobiliary Pancreat Surg, 7, pp. 401-403, (2000)
[6]  
Toyota S., Ohta H., Anazawa S., Rationale for extent of lymph node dissection for right colon cancer, Dis Colon Rectum, 38, pp. 705-711, (1995)
[7]  
Mori H., McGrath F.P., Malone D.E., Stevenson G.W., The gastrocolic trunk and its tributaries: CT evaluation, Radiology, 182, pp. 871-877, (1992)
[8]  
Zhang J., Rath A.M., Boyer J.C., Dumas J.L., Menu Y., Chevrel J.P., Radioanatomic study of the gastrocolic venous trunk, Surg Radiol Anat, 16, pp. 413-418, (1994)
[9]  
Ito K., Blasbalg R., Hussain S.M., Mitchell D.G., Portal vein and its tributaries: Evaluation with thin-section three-dimensional contrast-enhanced dynamic fat-suppressed MR imaging, Radiology, 215, pp. 381-386, (2000)