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Clinical and Translational Oncology
Published in: Clinical and Translational Oncology 10/2013

01-10-2013 | Research Article

Clinical research in individual information of celiac artery CT imaging and gastric cancer surgery

Authors: G. C. Mu, Y. Huang, Z. M. Liu, J. L. Lin, L. L. Zhang, Y. J. Zeng

Published in: Clinical and Translational Oncology | Issue 10/2013

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Abstract

Objective

The objective of this study is to acquire CT images of the celiac artery by 64-multi-slice spiral CT angiography (64-MSCTA) in gastric cancer patients to facilitate gastric cancer surgery.

Methods

Preoperative 64-MSCTA was performed to observe the origin, course and anatomical variations of the celiac artery and vascular calcifications in 102 gastric cancer patients.

Results

(1) The celiac trunk mostly arose at the level between the 12th thoracic vertebra and the 1st lumbar vertebra; the mean inferior angle with the abdominal aorta was 63.5° (14°–159°), the mean length was 36.29 mm (5.80–73.58 mm), and its course showed many styles. (2) Of 102 gastric cancer patients, 34 patients (33.33 %) were observed with celiac artery variations of whom there were 27 patients with anatomical variations of the hepatic artery, 3 patients with anatomical variation of the left gastric artery and 1 patient with anatomical variation of the splenic artery; in 1 patient, the celiac trunk and the superior mesenteric artery originated from a common trunk. In other cases, it was observed with another variation. (3) The abdominal aortic calcified plaque was observed in 48 patients (47.1 %), and among them, 34 patients were more than 60 years old, and the existence of the abdominal aortic calcified plaque was related to age, significantly (P < 0.01).

Conclusions

The 64-MSCTA largely improves our understanding of the origin, course and anatomical variations of the celiac artery and vascular calcifications in individual patient with gastric cancer. It is recommended that the 64-MSCTA of the celiac artery should be classified as a routine preoperative procedure in gastric cancer patients.
Literature
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The Japanese Gastric Cancer Association (2001) Japanese general rules for the gastric cancer study, 13th edn. Kanehara, Tokyo, pp 10–14
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Li XH, Sun CH, Feng ST et al (2012) Assessment of 64-slice spiral computed tomography angiography with image fusion for perigastric arteries anatomy. Zhonghua Wei Chang Wai Ke Za Zhi 15(6):594–598PubMed
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Hiatt JR, Gabbay J, Busuttil RW et al (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220(1):50–52PubMedCrossRef
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Keeling WB, Hackmann AE, Colter ME et al (2007) MF-tricyclic inhibits growth of experimental abdominal aortic aneurysms [J]. J Surg Res 141(2):192–195PubMedCrossRef
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Metadata
Title
Clinical research in individual information of celiac artery CT imaging and gastric cancer surgery
Authors
G. C. Mu
Y. Huang
Z. M. Liu
J. L. Lin
L. L. Zhang
Y. J. Zeng
Publication date
01-10-2013
Publisher
Springer Milan
Published in
Clinical and Translational Oncology / Issue 10/2013
Print ISSN: 1699-048X
Electronic ISSN: 1699-3055
DOI
https://doi.org/10.1007/s12094-013-1002-8

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