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中华结直肠疾病电子杂志 ›› 2017, Vol. 06 ›› Issue (03) : 198 -201. doi: 10.3877/cma.j.issn.2095-3224.2017.03.005

所属专题: 文献

论著

术前Henle干CT三维成像在腹腔镜右半结肠切除术中的应用
高玉蕾1, 杨道贵1,(), 孔祥恒1, 刘鑫1, 杜文峰1   
  1. 1. 252000 聊城,聊城市人民医院胃肠外科
  • 收稿日期:2017-02-19 出版日期:2017-06-25
  • 通信作者: 杨道贵

Application of preoperative identification of Henle trunk by three-dimensional multidetector computed tomography in laparoscopic right hemicolectomy

Yulei Gao1, Daogui Yang1,(), Xiangheng Kong1, Xin Liu1, Wenfeng Du1   

  1. 1. Department of Gastrointestinal Surgery, Taishan Medical University & Liaocheng People′s Hospital, Liaocheng 252000, China
  • Received:2017-02-19 Published:2017-06-25
  • Corresponding author: Daogui Yang
  • About author:
    Corresponding author: Yang Daogui, Email:
引用本文:

高玉蕾, 杨道贵, 孔祥恒, 刘鑫, 杜文峰. 术前Henle干CT三维成像在腹腔镜右半结肠切除术中的应用[J]. 中华结直肠疾病电子杂志, 2017, 06(03): 198-201.

Yulei Gao, Daogui Yang, Xiangheng Kong, Xin Liu, Wenfeng Du. Application of preoperative identification of Henle trunk by three-dimensional multidetector computed tomography in laparoscopic right hemicolectomy[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(03): 198-201.

目的

术前利用CT三维血管重建技术描述Henle干的解剖结构,并探讨其在腹腔镜右半结肠切除术中的应用价值。

方法

选取右半结肠癌患者18例,术前行CT三维血管重建观察Henle干静脉属支构成。

结果

18例病人均识别出了Henle干。并根据结肠静脉(副右结肠静脉,右结肠静脉和中结肠静脉)参与数量发现Henle干的以下两种类型:Ⅰ(1支结肠静脉),Ⅱ(2支结肠静脉)。类型Ⅰ和Ⅱ类型出现的频率分别为:56%(n=10)、44%(n=8)。

结论

CT三维血管重建可以很好的识别汇入Henle干的静脉分支,从而为腹腔镜右半结肠切除术提供良好的指导作用。

Objective

The aim of this study is to describe the anatomical variations of the Henle trunk detected by three-dimensional multidetector computed tomography and to explore the applications in laparoscopic right hemicolectomy.

Methods

Eighteen patients who underwent laparoscopic right hemicolectomy were retrospectively reviewed, whose Henle trunk was detected by three-dimensional multidetector computed tomography.

Results

The Henle trunk was identified in all the patients by three-dimensional multidetector computed tomography. The Henle trunk described by three-dimensional multidetector computed tomography was classified into two types, Type-I (one colic drainage vein) and Type-II (two colic drainage veins), based on the number of drained colic veins (superior right colic vein, right colic vein and middle colic vein). The frequencies of Type-I and Type-II were 56% (n=10) and 44% (n=8), respectively.

Conclusions

Three-dimensional multidetector computed tomography can clearly identify the anatomical variations of the Henle trunk, which can provide guidance to laparoscopic right hemicolectomy.

图3 本图属类型-II,该病例中副右结肠静脉与中结肠静脉和胃网膜。右静脉与十二指肠上前静脉共同组成Henle干
[1]
Jin G, Tuo H, Sugiyama M, et al. Anatomic study of the superior right colic vein: its relevance to pancreatic and colonic surgery [J]. Am J Surg, 2006, 191(1):100-103.
[2]
Lange JF, Koppert S, van Eyck CH, et al. The gastrocolic trunk of Henle in pancreatic surgery:an anatomo-clinical study [J]. J Hepatobiliary Pancreat Surg, 2000, 7(4):401-403.
[3]
Yamaguchi S, Kuroyanagi H, Milsom JW, et al.Venous anatomy of the right colon: precise structure of the major veinsand gastrocolic trunk in 58 cadavers [J]. Dis Colon Rectum, 2002, 45(10):1337–1340.
[4]
Kimura W. Surgical anatomy of the pancreas for limited resection [J]. J Hepatobiliary Pancreat Surg, 2000, 7(5):473–479.
[5]
Ignjatovic D, Spasojevic M, Stimec B. Can the gastrocolic trunk of Henle serve as an anatomical landmark in laparoscopic right colectomy? A postmortem anatomical study [J]. Am J Surg, 2010, 199(2):249–254.
[6]
房学东, 陈学博, 季福建, 等. 腹腔镜右半结肠癌根治规范化相关问题 [J]. 中华普外科手术学杂志(电子版), 2015, 9(1):18-22.
[7]
池畔, 陈致奋. 腹腔镜右半结肠癌根治术解剖学基础与规范化手术 [J]. 中华普外科手术学杂志(电子版), 2015, 9(1):7-13.
[8]
Ignjatovic D, Stimec B, Finjord T, et al. Venous anatomy of the right colon: three-dimensional topographic mapping of the gastrocolic trunk of Henle [J]. Tech Coloproctol, 2004, 8(1):19–21;discussion 21-22.
[9]
Spasojevic M, Stimec BV, Fasel JF, et al. 3D relations between right colon arteries and the superior mesenteric vein: a preliminary study with multidetector computed tomography [J]. Surg Endosc, 2011, 25(6):1883–1886.
[10]
Shioyama Y, Kimura M, Horihata K, et al. Peripancreatic arteries in thin-section multislice helical CT [J]. Abdom Imaging, 2001, 26(3):234–242.
[11]
Kawai M, Tani M, Ina S, et al. CLIP method (preoperative CT image-assessed ligation of inferior pancreaticoduodenal artery) reduces intraoperative bleeding during pancreaticoduodenectomy [J]. World J Surg, 2008, 32(1):82–87.
[12]
Horiguchi A, Ishihara S, Ito M, et al. Three-dimensional models of arteries constructed usingmultidetector-row CT images to perform pancreatoduodenectomysafely following dissection of the inferior pancreaticoduodenal artery [J]. J Hepatobiliary Pancreat Sci, 2010, 17(4):523–526.
[13]
Motoki Miyazawa, Manabu Kawai, Seiko Hirono, et al. Preoperative evaluation of the confluent drainage veins to the gastrocolic trunk of Henle: understanding the surgical vascular anatomy during pancreaticoduodenectomy [J]. Japanese Society of Hepato-Biliary-Pancreatic Surgery, 2015, 22(5):386-391.
[14]
赵丽瑛, 李国新, 张策, 等. 腹腔镜下右半结肠血管解剖及血管并发症分析 [J]. 中华胃肠外科杂志, 2012, 15(4):336-341.
[15]
Sakaguchi T, Suzuki S, Morita Y, et al. Analysis of anatomic variants of mesenteric veins by 3-dimensional portography using multidetector-row computed tomography [J]. Am J Surg, 2010, 200(1):15–22.
[16]
Kim HJ, Ko YT, Lim JW, et al. Radiologic anatomy of the superior mesenteric vein and branching patterns of the first jejunal trunk: evaluation using multi-detector row CT venography [J]. Surg Radiol Anat, 2007, 29(1):67–75.
[17]
孔祥恒, 杨成刚, 王文晓, 等. 腹腔镜右半结肠切除术改良路径的应用 [J]. 国际外科学杂志, 2016, 43(8):518-522.
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