Vascular Map Combined with CT Colonography for Evaluating Candidates for Laparoscopic Colorectal Surgery.
10.3348/kjr.2015.16.4.821
- Author:
Nicola FLOR
1
;
Alessandro CAMPARI
;
Anna RAVELLI
;
Maria Antonietta LOMBARDI
;
Andrea PISANI CERETTI
;
Nirvana MARONI
;
Enrico OPOCHER
;
Gianpaolo CORNALBA
Author Information
1. Unita Operativa di Radiologia Diagnostica e Interventistica, Azienda Ospedaliera San Paolo, Milan 20142, Italy. nicola.flor@ao-sanpaolo.it
- Publication Type:Case Report
- Keywords:
Contrast-agent;
CT colonography;
Laparoscopic surgery
- MeSH:
Adult;
Aged;
Colectomy/*methods;
Colon/blood supply/pathology/radiography;
Colonography, Computed Tomographic/*methods;
Colorectal Neoplasms/pathology/*radiography/*surgery;
Contrast Media;
Female;
Humans;
Laparoscopy/*methods;
Lymph Node Excision/methods;
Male;
Middle Aged;
Neoplasm Staging/methods
- From:Korean Journal of Radiology
2015;16(4):821-826
- CountryRepublic of Korea
- Language:English
-
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.
