Three-dimensional computed tomography in laparoscopic surgery for colorectal carcinoma
| Autor: | Hiroko Oba, Shoichi Terakawa, Mitsuo Tsubakimoto, Kenji Adachi, Eui-Chul Kim, Kohei Ohta, Hiroshi Ohtani, Yuichi Arimoto |
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| Rok vydání: | 2006 |
| Předmět: |
Laparoscopic surgery
Adult Male medicine.medical_specialty medicine.medical_treatment Anastomosis Inferior mesenteric artery Imaging Three-Dimensional medicine.artery medicine Humans Superior mesenteric artery Superior mesenteric vein Colectomy Aged Retrospective Studies Aged 80 and over Colorectal Cancer business.industry Gastroenterology General Medicine Middle Aged Surgery Middle colic artery Inferior mesenteric vein Female Laparoscopy Radiology business Colorectal Neoplasms Tomography X-Ray Computed |
| Zdroj: | World journal of gastroenterology. 11(44) |
| ISSN: | 1007-9327 |
| Popis: | AIM: To evaluate the usefulness of three-dimensional computed tomography (3DCT) in laparoscopic surgery for colorectal carcinoma. METHODS: Seventy-two patients with colorectal cancer who underwent curative operation at our hospital were enrolled in this study. They were classified into two groups by operative procedures. Sixteen patients underwent laparoscopic surgery, laparoscopic group (LG), while 56 patients underwent conventional open surgery, open group (OG). At our institution, contrast-enhanced CT is routinely performed as part of intra-abdominal screening and the 3D images of the major regional vessels are described. We have previously described about the preoperative visualization of the inferior mesenteric artery (IMA) by 3DCT. This time we newly acquired 3D images of the superior mesenteric artery (SMA)/superior mesenteric vein (SMV), ileocecal artery (ICA), middle colic artery (MCA), and inferior mesenteric vein (IMV). We have compared our two study groups with regard to fi ve items, including clinical anastomotic leakage. We have discussed here the role of 3DCT in laparoscopic surgery for colorectal carcinoma. RESULTS: The mean length of the incision in LG was 4.625±0.89 cm, which was signifi cantly shorter than that in OG (P |
| Databáze: | OpenAIRE |
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