Unit:
ΠΜΣ Χειρουργική ΑνατομίαLibrary of the School of Health Sciences
Supervisors info:
Π. Σκανδαλάκης, Καθηγητής, Ιατρική, ΕΚΠΑ
Α. Μαζαράκης, Αναπληρωτής Καθηγητής, Ιατρική, ΕΚΠΑ
Θ. Δεμέστιχα, Επίκουρος Καθηγήτρια, Ιατρική, ΕΚΠΑ
Original Title:
Αγγειακές παραλλαγές στην αιμάτωση του δεξιού κόλου και η σημασία τους στην χειρουργική ογκολογία
Translated title:
Vascular variation of right colon and their significance in surgical oncology
Summary:
Colorectal cancer is the third most commonly diagnosed cancer in males and the second in females. Aim of this paper is the analysis of the vascular variation of the vessels of the right colon and the importance in surgical management of right colon cancer and in application of surgery between embryological planes (CME). Materials and methods include a detailed review of cadaveric, imaging and intraoperative papers concerning vascular, arterial and venous, variations of the right colon, analysis of complete mesocolic excision with high vascular ligation and its importance in surgical management of colon cancer. Ileocolic and middle colic arteries and veins show stability and are useful landmarks for the surgeon. Right colic artery and vein and superior right colic vein showed considerable variation in either incidence or drainage. Gastrocolic trunk of Henle and its colic venous drainage of also showed extensive variation. Vascular variations of right colon are important in hematogenous and lymphatic metastases of colon cancer, but also illustrate an important role in surgical technique of complete mesocolic excision and high vascular ligation, improving surgical outcomes and reducing surgical complications. Concluding, deep knowledge of surgical anatomy and its variations remain a precious weapon in surgical management of right colon cancer.
Main subject category:
Health Sciences
Keywords:
Vascular variation of right colon, Right colic vessels, Right colic artery, Right colic vein, Gastrocolic trunk of henle, CME
