Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Japanese Journal of Radiology
Published in: Japanese Journal of Radiology 12/2018

01-12-2018 | Original Article

Three-dimensional computed tomographic angiography with computed tomographic colonography for laparoscopic colorectal surgery

Authors: Atsushi Hiroishi, Takayuki Yamada, Tsuyoshi Morimoto, Kuniyasu Horikoshi, Yasuo Nakajima

Published in: Japanese Journal of Radiology | Issue 12/2018

Login to get access

Abstract

Purpose

To prospectively correlate the preoperative vessel anatomy in three-dimensional computed tomographic angiography with computed tomographic colonography (3D-CTA with CTC) with that in laparoscopic surgery for colorectal cancer.

Methods

The study protocol was approved by our institutional review board. The study population consisted of 101 patients with colon cancer who underwent 3D-CTA with CTC between June 2016 and January 2018. Two radiologists assessed the branching patterns of sigmoid arteries (SAs) and right colonic artery (RCA), the position between the ileocolic artery (ICA) and superior mesenteric vein (SMV), and the existence of an accessory middle colonic artery (aMCA). The vessel anatomy on 3D-CTA with CTC was correlated with that of intraoperative findings.

Results

Ninety-eight examinations (97.0%) were technically successful. Between preoperative and intraoperative vessel anatomy, the branching patterns of SAs were concordant in all 29 cases with rectosigmoid and descending colon cancer. The branching patterns of RCA and the position between the ICA and SMV were completely concordant in 32 cases of cecal and ascending colon cancer. No aMCA was identified either intraoperatively or by imaging analysis.

Conclusions

3D-CTA with CTC guided the surgeons to determine the resection margin of the relevant vessels for laparoscopic colorectal surgery.
Literature
1.
Group COoSTS. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.CrossRef
2.
Cuschieri A. Laparoscopic surgery: current status, issues and future developments. Surgeon. 2005;3:125–38.CrossRef
3.
Jayne D, Thorpe H, Copeland J, Quirke P, Brown J, Guillou P. Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg. 2010;97:1638–45.CrossRef
4.
Offermans T, Vogelaar FJ, Aquarius M, Janssen-Heijnen MLG, Simons PCG. Preoperative segmental localization of colorectal carcinoma: CT colonography vs. optical colonoscopy. Eur J Surg Oncol. 2017;43:2105–11.CrossRef
5.
Neri E, Turini F, Cerri F, Faggioni L, Vagli P, Naldini G, et al. Comparison of CT colonography vs. conventional colonoscopy in mapping the segmental location of colon cancer before surgery. Abdom Imaging. 2010;35:589–95.CrossRef
6.
da Fonte AC, Chojniak R, Pinto PNV, dos Santos Neto PJ, Bitencourt AGV. Inclusion of computed tomographic colonography on pre-operative CT for patients with colorectal cancer. Eur J Radiol. 2012;81:e298–303.CrossRef
7.
Neri E, Giusti P, Battolla L, Vagli P, Boraschi P, Lencioni R, et al. Colorectal cancer: role of CT colonography in preoperative evaluation after incomplete colonoscopy. Radiology. 2002;223:615–9.CrossRef
8.
Shida H, Ban K, Matsumoto M, Masuda K, Imanari T, Machida T, et al. Prognostic significance of location of lymph node metastases in colorectal cancer. Dis Colon Rectum. 1992;35:1046–50.CrossRef
9.
Matsuki M, Okuda J, Kanazawa S, Kanamoto T, Inada Y, Tatsugami F, et al. Virtual CT colectomy by three-dimensional imaging using multidetector-row CT for laparoscopic colorectal surgery. Abdom Imaging. 2005;30:698–70.CrossRef
10.
Matsuki M, Okuda J, Yoshikawa S, Tatsugami F, Masuda K, Kani H, et al. Clinical application of three-dimensional imaging with multislice CT for laparoscopic colorectal surgery. Nihon Igaku Hoshasen Gakkai Zasshi. 2003;63:154–9.PubMed
11.
Murono K, Kawai K, Ishihara S, Otani K, Yasuda K, Nishikawa T, et al. Evaluation of the vascular anatomy of the right-sided colon using three-dimensional computed tomography angiography: a single-center study of 536 patients and a review of the literature. Int J Colorectal Dis. 2016;31:1633–8.CrossRef
12.
Yada H, Sawai K, Taniguchi H, Hoshima M, Katoh M, Takahashi T. Analysis of vascular anatomy and lymph node metastases warrants radical segmental bowel resection for colon cancer. World J Surg. 1997;21:109–15.CrossRef
13.
Hirai K, Yoshinari D, Ogawa H, Nakazawa S, Takase Y, Tanaka K, et al. Three-dimensional computed tomography for analyzing the vascular anatomy in laparoscopic surgery for right-sided colon cancer. Surg Laparosc Endosc Percutan Tech. 2013;23:536–9.CrossRef
14.
Kobayashi M, Morishita S, Okabayashi T, Miyatake K, Okamoto K, Namikawa T, et al. Preoperative assessment of vascular anatomy of inferior mesenteric artery by volume-rendered 3D-CT for laparoscopic lymph node dissection with left colic artery preservation in lower sigmoid and rectal cancer. World J Gastroenterol. 2006;12:553–5.CrossRef
15.
Kanamoto T, Matsuki M, Okuda J, Inada Y, Tatsugami F, Tanikake M, et al. Preoperative evaluation of local invasion and metastatic lymph nodes of colorectal cancer and mesenteric vascular variations using multidetector-row computed tomography before laparoscopic surgery. J Comput Assist Tomogr. 2007;31:831–9.CrossRef
16.
Murono K, Kawai K, Kazama S, Ishihara S, Yamaguchi H, Sunami E, et al. Anatomy of the inferior mesenteric artery evaluated using 3-dimensional CT angiography. Dis Colon Rectum. 2015;58:214–9.CrossRef
17.
Flor N, Campari A, Ravelli A, Lombardi MA, Pisani Ceretti A, Maroni N, et al. Vascular map combined with CT colonography for evaluating candidates for laparoscopic colorectal surgery. Korean J Radiol. 2015;16:821–6.CrossRef
18.
Lange MM, Buunen M, van de Velde CJ, Lange JF. Level of arterial ligation in rectal cancer surgery: low tie preferred over high tie. A review. Dis Colon Rectum. 2008;51:1139–145.CrossRef
19.
Goligher JC. The blood-supply to the sigmoid colon and rectum with reference to the technique of rectal resection with restoration of continuity. Br J Surg. 1949;37:157–62.CrossRef
20.
Nelson TM, Pollak R, Jonasson O, Abcarian H. Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat. 1988;1:75–91.CrossRef
21.
Higuchi A, Saito S, Ike H, Mikayama H, Harada H, Minabe D, et al. Anatomical variations of mesenteric arteries visualized by 3D-CT angiography. Nippon Daicho Komonbyo Gakkai Zasshi. 2014;67:68–73.CrossRef
22.
Vandamme J, Bonte J, Van der Schueren G. Re-evaluation of the colic irrigation from the inferior mesenteric artery. Acta Anat (Basel). 1982;112:18–30.CrossRef
23.
Amonoo-Kuofi HS, El-Badawi MG, El-Naggar ME. Anomalous origins of colic arteries. Clin Anat. 1995;8:288–93.CrossRef
24.
Koizumi M, Horiguchi M. Accessory arteries supplying the human transverse colon. Acta Anat (Basel). 1990;137:246–51.CrossRef
25.
Fukuoka A, Sasaki T, Tsukikawa S, Miyajima N, Ostubo T. Evaluating distribution of the left branch of the middle colic artery and the left colic artery by CT angiography and colonography to classify blood supply to the splenic flexure. Asian J Endosc Surg. 2017;10:148–53.CrossRef
26.
Kobayashi M, Okamoto K, Namikawa T, Okabayashi T, Araki K. Laparoscopic lymph node dissection around the inferior mesenteric artery for cancer in the lower sigmoid colon and rectum. Surg Endosc. 2006;20:563–9.CrossRef
Metadata
Title
Three-dimensional computed tomographic angiography with computed tomographic colonography for laparoscopic colorectal surgery
Authors
Atsushi Hiroishi
Takayuki Yamada
Tsuyoshi Morimoto
Kuniyasu Horikoshi
Yasuo Nakajima
Publication date
01-12-2018
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 12/2018
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-018-0775-7

Other articles of this Issue 12/2018

Japanese Journal of Radiology 12/2018 Go to the issue

Technical Note

Does integrated shimming improve lesion detection in whole-body diffusion-weighted examinations of patients with breast cancer?

Letter to the Editor

Response to Investigation of an appropriate contrast-enhanced CT protocol for young patients following the Fontan operation

Original Article

Combined radiotherapy with nivolumab for extracranial metastatic malignant melanoma

Original Article

Reliability of diagnosing acute ischemic cerebrovascular on magnetic resonance imaging disorders using iPads

Original Article

Definitive radiotherapy for hilar and/or mediastinal lymph node metastases after stereotactic body radiotherapy or surgery for stage I non-small cell lung cancer: 5-year results

Original Article

Artificial intelligence using neural network architecture for radiology (AINNAR): classification of MR imaging sequences