ArticleInternational journal of colorectal disease2018
Retromesenteric course of the middle colic artery-challenges and pitfalls in D3 right colectomy for cancer.
Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- A single-center retrospective cohort study on the effects of different surgical routes on complications after radical resection of low rectal cancer.BMC surgery · 2025Article
- [Anatomical variants of blood vessels and their surgical challenges related to oncological right hemicolectomy].Chirurgie (Heidelberg, Germany) · 2025Article
- Cadaveric and CT angiography study of vessels around the transverse colon mesentery.World journal of surgical oncology · 2023Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundThe middle colic artery (MCA) is of crucial importance in abdominal surgery, for laparoscopic or open right and transverse colectomies. Against this background, a high number of reports concerning anatomical variations of the MCA have been published intended to contribute to the improvement of operative techniques for the treatment of colon cancer. Despite this extensive literature, briefly reviewed in the present paper, a course of the MCA posterior to the superior mesenteric vein, called a retromesenteric trajectory, has been related to only once, to the best of our knowledge.
methodsA total series of 507 patients included in two prospective trials concerning laparoscopic or open right colectomy for cancer between 2011 and 2017 are reported. The investigation included preoperative or postoperative multidetector-computed tomography angiography.
resultsWe found four (0.79%) cases of retromesenteric MCA. They all underwent meticulous image analysis with mesenteric vessels' road mapping, detailed morphometry, and surgical validation which revealed that, apart from their course, those cases did not differ significantly from the rest of the series.
conclusionThis paper therefore documents the worth-knowing behavior causing considerable confusion for the operating surgeon unaware of the abnormality and shows its concrete impact on patient-tailored surgical practice, in particular for laparoscopic D3 colectomy (including the "uncinated process first" approach).
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