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BMC Surgery
Published in: BMC Surgery 1/2022

Open Access 01-12-2022 | Computed Tomography | Research

Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography

Authors: Ichirota Iino, Hirotoshi Kikuchi, Toshiyuki Suzuki, Toshiki Kawabata, Osamu Jindo, Akihiro Uno, Atsuko Fukazawa, Keigo Matsumoto, Hideto Ochiai, Takanori Sakaguchi, Hiroya Takeuchi, Hiroyuki Konno, Shohachi Suzuki

Published in: BMC Surgery | Issue 1/2022

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Abstract

Background

To perform laparoscopic gastrectomy safely, we aimed to comprehensively re-evaluate perigastric vessel anatomies using a three-dimensional angiography reconstructed from enhanced multidetector-row computed tomography data.

Methods

Perigastric vessel anatomy was preoperatively analyzed using a multidetector-row computed tomography-based three-dimensional angiography reconstructed in 127 patients undergoing gastric surgery.

Results

Of the 67 left gastric veins that ran along the dorsal side of the arteries, 59 (88.1%) ran along the dorsal side of the common hepatic artery and flowed into the portal vein. In 18 cases, a common trunk of one to three left gastric arteries and the replaced left hepatic artery was observed. The left inferior phrenic artery ramified from the left gastric artery in 5.5% of the cases. The right gastric artery was classified into distal (73.2%), caudal (18.1%), and proximal (8.7%) types. The infra-pyloric artery was also classified into distal (64.6%), caudal (26.0%), and proximal (9.4%) types. The posterior gastric artery branched as a common trunk with the superior polar artery in the proximal (37.9%) and distal (18.4%) regions of the splenic artery. The left gastroepiploic artery ramified from the splenic (18.1%) and inferior terminal arteries (81.9%). No, one, and two gastric branches of the left gastroepiploic artery, which ramified between the roots of the left gastroepiploic artery and its omental branch, were found in 36.5%, 49.2%, and 14.3% of the cases, respectively.

Conclusions

Preoperative 3D angiography is useful for the precise evaluation of perigastric vessel anatomies, and may help us to perform laparoscopic gastrectomy and robotic surgery safely.
Appendix
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Metadata
Title
Comprehensive evaluation of three-dimensional anatomy of perigastric vessels using enhanced multidetector-row computed tomography
Authors
Ichirota Iino
Hirotoshi Kikuchi
Toshiyuki Suzuki
Toshiki Kawabata
Osamu Jindo
Akihiro Uno
Atsuko Fukazawa
Keigo Matsumoto
Hideto Ochiai
Takanori Sakaguchi
Hiroya Takeuchi
Hiroyuki Konno
Shohachi Suzuki
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-022-01836-0

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