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Arterial vasculature of the stomach and oncologic gastrectomies

Vascularisation de l'estomac et gastrectomies carcinologiques

  • Radiological Anatomy
  • Published:
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Summary

Preoperative knowledge of the gastric arterial blood-supply with special regard to anatomic anomalies is desirable for a correct surgical approach to this viscus and for the reduction of intra- and postoperative complication rates. The authors report their experience with the use of preoperative digital angiography in the evaluation of 46 consecutive patients undergoing gastric cancer surgery. Twenty of these (43.5 %) presented a vascular anatomy different from the normal pattern. In 6 (13 %), a double arterial anomaly was detected. Some anatomic anomalies of the celiac axis and superior mesenteric artery are described in relation to operative procedures during oncologic gastrectomies.

Résumé

La connaissance pré-opératoire de la vascularisation artérielle gastrique, avec un intérêt particulier pour les variations anatomiques, est utile pour une approche chirurgicale correcte de ce viscère et pour la réduction du taux des complications per et post-opératoires. Les auteurs rapportent leur expérience sur l'utilisation de l'angiographie digitalisée pré-opératoire dans l'évaluation de 46 patients consécutifs devant subir une chirurgie gastrique pour cancer. Vingt des 46 patients (43,5 %) présentaient une anatomie vasculaire différente du schéma normal. Dans 6 cas (13 %) une double anomalie artérielle a été décrite . Quelques anomalies anatomiques du tronc cœliaque et de l'a. mésentérique supérieure sont décrites en relation avec la réalisation des gastrectomies pour cancer.

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Authors and Affiliations

  1. Department of Surgery, University of L'Aquila, Viale della Croce Rossa, I-67100, L'Aquila, Italy

    S Guadagni, P Gola, L Marsili, M Catarci, E Mancini, A Agnifili & G De Bernardinis

  2. Gastric Surgery Division, National Cancer Center Central Hospital, 5-1-1, Tsukiji, Chuo-ku, 104, Tokyo, Japan

    T Sano & K Maruyama

Authors
  1. S Guadagni
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  2. P Gola
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  3. L Marsili
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  4. M Catarci
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  5. E Mancini
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  6. A Agnifili
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  7. G De Bernardinis
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  8. T Sano
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  9. K Maruyama
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Guadagni, S., Gola, P., Marsili, L. et al. Arterial vasculature of the stomach and oncologic gastrectomies. Surg Radiol Anat 17, 269–276 (1995). https://doi.org/10.1007/BF01795062

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  • DOI: https://doi.org/10.1007/BF01795062

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