三维计算机断层扫描对右侧结肠癌血管系统的评估
Y U Kuboyama1, Tetsuo Ishizaki2, Junichi Mazaki1
1Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan.
Anticancer research
|November 29, 2023
概括
三维计算机断层扫描 (3D-CT) 澄清了复杂的右侧结肠癌血管解剖学. 这种成像提高了中枢血管绑定精度,提高了患者的微创手术 (MIS) 安全性和质量.
科学领域:
- 手术瘤学手术瘤学
- 血管解剖学 血管解剖学
- 最少侵入性的手术
背景情况:
- 食血管的中央绑定在结肠癌手术中至关重要.
- 对于晚期右侧结肠癌的微创手术 (MIS) 需要精确的血管控制.
研究的目的:
- 使用3D-CT. 阐明结肠右侧的血管解剖学.
- 为了提高MIS中右侧结肠癌中枢血管绑定的准确性.
主要方法:
- 一项涉及92名右侧结肠癌患者的描述性研究.
- 使用3D-CT进行手术前血管解剖评估.
- 数据是在2014年1月至2020年12月期间在东京医科大学医院收集的.
主要成果:
- 与上半腹静脉 (SMV) 相对的伊利奥科利克动脉位置有所变化 (腹腔在53.3%,背部在46.7%).
- 右结肠动脉在33.7%的患者中存在,中间结肠动脉在100%的患者中存在.
- 在上半导体动脉 (SMA) 的共同干中发现了变异,其中13.0%的动脉直接分支,22.9%的动脉有辅助性SMA.
结论:
- 右结肠的血管解剖学非常可变和复杂.
- 在右侧结肠癌的MIS中,3D-CT成像对于手术前的规划是无价的.
- 精确的血管评估可以使中心绑定更安全,改善手术结果.
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