Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Vascular Map Combined with CT Colonography for Evaluating Candidates for Laparoscopic Colorectal Surgery

  • Flor, Nicola (Unita Operativa di Radiologia Diagnostica e Interventistica, Azienda Ospedaliera San Paolo) ;
  • Campari, Alessandro (Scuola di Specializzazione in Radiodiagnostica, Facolta di Medicina e Chirurgia, Universiti degli Studi di Milano) ;
  • Ravelli, Anna (Scuola di Specializzazione in Radiodiagnostica, Facolta di Medicina e Chirurgia, Universiti degli Studi di Milano) ;
  • Lombardi, Maria Antonietta (Scuola di Specializzazione in Radiodiagnostica, Facolta di Medicina e Chirurgia, Universiti degli Studi di Milano) ;
  • Pisani Ceretti, Andrea (Unita Operativa di Chirurgia, Azienda Ospedaliera San Paolo) ;
  • Maroni, Nirvana (Unita Operativa di Chirurgia, Azienda Ospedaliera San Paolo) ;
  • Opocher, Enrico (Dipartimento di Scienze della Salute, Universita degli Studi di Milano) ;
  • Cornalba, Gianpaolo (Unita Operativa di Radiologia Diagnostica e Interventistica, Azienda Ospedaliera San Paolo)
  • Received : 2014.09.28
  • Accepted : 2015.04.08
  • Published : 2015.08.01
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Abstract

Contrast-enhanced computed tomography colonography (CE-CTC) is a useful guide for the laparoscopic surgeon to avoid incorrectly removing the colonic segment and the failure to diagnose of synchronous colonic and extra-colonic lesions. Lymph node dissection and vessel ligation under a laparoscopic approach can be time-consuming and can damage vessels and organs. Moreover, mesenteric vessels have extreme variations in terms of their courses and numbers. We describe the benefit of using an abdominal vascular map created by CE-CTC in laparoscopic colorectal surgery candidates. We describe patients with different diseases (colorectal cancer, diverticular disease, and inflammatory bowel disease) who underwent CE-CTC just prior to laparoscopic surgery.

Keywords

References

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