Evidence map›Paper›PMID 30636641›Full record

ArticleWorld journal of surgical oncology2019

Variations in right colic vascular anatomy observed during laparoscopic right colectomy.

Chuying Wu, Kai Ye, Yiyang Wu, Qiwei Chen, Jianhua Xu, Jianan Lin, Wengui Kang

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Chuying WuDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China.
Kai YeDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China. medwcy@163.com.
Yiyang WuDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China.
Qiwei ChenDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China.
Jianhua XuDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China.
Jianan LinDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China.
Wengui KangDepartment of Tumor Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, People's Republic of China.
Fujian Medical University · CNSecond Affiliated Hospital of Fujian Medical University · CN

Funding

Development Center for Medical Science and Technology, National Health and Family Planning Commission of the People's Republic of China W2012RQ16Technology Research and Development Project in Quanzhou 2013Z103
6 · The paper itself

Abstract

backgroundThis study aimed to analyze right colonic vascular variability.

methodsThe study included 60 consecutive patients who underwent laparoscopic radical right colectomy and D3 lymph node dissection for malignant colonic cancer on the ileocecal valve, ascending colon or hepatic flexure (March 2013 to October 2016). The videos of the 60 surgical procedures were collected. Variations of right colonic vascular anatomy were retrospectively analyzed based on 60 high-resolution surgical videos of laparoscopic surgery.

resultsThe superior mesenteric artery and vein were present in all cases; 95.0% (57/60) had the superior mesenteric artery on the left side of the superior mesenteric vein. The ileocolic artery and vein occurred in 96.7% (58/60) and 100% (60/60) of cases, respectively; 50.0% (29/58) had the ileocolic artery passing the superior mesenteric vein anteriorly. Thirty-three (55.0%) cases had a right colic artery, and 2 (3.33%) had a double right colic artery; 90.9% (30/36) had the right colic vein passing anterior to the superior mesenteric artery. Fifty-six (93.3%) cases had a right colic vein; 7 (12.5%) had a right colic vein accompanied by a right colic artery, 66.1% (37/56) had the right colic vein draining into the gastrocolic trunk of Henle, 23.2% (13/56) had the right colic vein directly draining into superior mesenteric vein, and 10.7% (6/56) had one right colic vein draining into the superior mesenteric vein and the other into the gastrocolic trunk of Henle. Fifty-three (88.3%) cases had a gastrocolic trunk of Henle: a gastrocolic trunk in 35.8% (19/53), a gastropancreatic trunk in 9.4% (5/53), and a gastropancreaticocolic trunk in 54.7% (29/53). The frequencies of middle colic artery and vein were respectively 100% (60/60) and 93.3% (56/60).

conclusionsRight colonic vascular variations were classified in Chinese patients. Notable findings included a superior mesenteric artery positioned to the right of the superior mesenteric vein and variation in middle colic artery length. This knowledge may be helpful to colorectal surgeons and could potentially help to improve safety by reducing vascular complications during minimally invasive procedures.

Indexed as

Anatomic VariationAdultAgedAged, 80 and overColectomyColonColonic NeoplasmsFemaleFollow-Up StudiesHumansLaparoscopyMaleMesenteric Artery, InferiorMiddle AgedPrognosisRetrospective StudiesLaparoscopeOperative management of vesselsRight colon radical resectionVascular anatomic variation

Identifiers

PMID30636641
PMCPMC6330569
OpenAlexW2911236008

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.