ArticleInternational journal of colorectal disease2019
Preoperative anatomical road mapping reduces variability of operating time, estimated blood loss, and lymph node yield in right colectomy with extended D3 mesenterectomy for cancer.
Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review.Surgical endoscopy · 2023Pooled it
- Extended D3 Mesenterectomy in Small Bowel Cancer Treatment: Feasibility and Importance for Staging. First Results of a Prospective Clinical Trial.World journal of surgery · 2026Trial
- Lymphatic and vascular anatomy define surgical principles for radical treatment of distal duodenal and proximal jejunal tumors.Surgical endoscopy · 2025Trial
- Preoperative CT-based 3D analysis of middle colic vein anatomy for complete mesocolic excision in right-sided colon cancer: a retrospective cohort study from a prospective clinical trial.Surgical and radiologic anatomy : SRA · 2026Article
- 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
- Article
- International expert consensus on a structured approach to robotic multiport right hemicolectomy with complete mesocolic excision and intracorporeal anastomosis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Lymphatic and vascular anatomy define surgical principles for bowel-sparing radical treatment of ileal tumors.Surgical endoscopy · 2025Article
- Inter-rater and intra-rater reliability of multi-slice CT and three-dimensional reconstructed imaging analysis of mesenteric vascular anatomy for planning and performing complete mesocolic excision.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- The Role of Herb-Partitioned Moxibustion in the Angiogenesis of Colitis-Associated Cancer in Rats.Journal of inflammation research · 2025Article
- Article
- Article
- Quality assessment of surgery for colorectal cancer: Where do we stand?World journal of gastrointestinal surgery · 2024Article
- Short- and long-term outcomes of laparoscopic or robotic radical gastrectomy based on preoperative perigastric artery CTA surgical decision-making: a high-volume center retrospective study with propensity score matching.Surgical endoscopy · 2023Article
- The Mesentery in Complete Mesocolic Excision.Clinics in colon and rectal surgery · 2022Review
- [Application of three-dimensional visualization technique in laparoscopic D3 radical resection of right colon cancer].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022Article
- Re-interpreting mesenteric vascular anatomy on 3D virtual and/or physical models: positioning the middle colic artery bifurcation and its relevance to surgeons operating colon cancer.Surgical endoscopy · 2022Article
- Predictive value of computed tomography with coronal reconstruction in right hemicolectomy with complete mesocolic excision for right colon cancers: a retrospective study.World journal of surgical oncology · 2021Article
- Value of the surgeon's sightline on hologram registration and targeting in mixed reality.International journal of computer assisted radiology and surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of individual patient anatomy on operating time, estimated blood loss (EBL), and lymph node yield in right colectomy with extended D3 mesenterectomy, where surgeons have access to a preoperative 3-D reconstruction of the vascular anatomy of patients before surgery. Data on the impact of individual patient vascular anatomy when surgeons have an anatomical road map as a guide at surgery is still missing in the literature.
methodConsecutive patients enrolled in an ongoing trial were classified into 4 groups and 2 subgroups using a 3-D vascular anatomy reconstruction derived from the staging CT. Outcome measures are operating time, EBL, vascular events, and D3 volume lymph node yield. SPSS was used for statistical analysis.
resultsOne hundred seventy-six (77 men) patients included. Mean operating time was 200 ± 50 min. Type 4b required significantly longer operating time (mean, 219 ± 59) compared to type 3 (mean, 188 ± 43) (p = 0.004). Vascular events occurred most often in anatomy type 4b (20.0%) and 3 (19.2%). No difference in EBL and lymph node yield was found (p = 0.102 and p = 0.803, respectively).
conclusionThe use of a roadmap at surgery seems to even differences in operating time, EBL, and lymph node yield, independent of the complexity of the individual patient's central mesenteric vascular anatomy. The incidents of vascular events requiring hemostasis do not cause differences in EBL between the anatomy groups, suggesting that preoperative awareness of the anatomy is beneficial at surgery.
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