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Exceptional vascular variants during oncological right colectomy: Case reports

INTRODUCTION: Carcinological right colectomy with complete D3 mesocolon excision has to be guided by vascular variants in order to avoid complications especially in exceptional cases as illustrated by our two cases. CASE PRESENTATIONS: Two women had right colectomies with compete D3 mesocolon excisi...

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Autores principales: Landolsi, Sana, Youssfi, Rahma, Trabelsi, Mehdi, Touati, Dhaker, Saidi, Aymen, Chebbi, Faouzi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520797/
https://www.ncbi.nlm.nih.gov/pubmed/37742356
http://dx.doi.org/10.1016/j.ijscr.2023.108853
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author Landolsi, Sana
Youssfi, Rahma
Trabelsi, Mehdi
Touati, Dhaker
Saidi, Aymen
Chebbi, Faouzi
author_facet Landolsi, Sana
Youssfi, Rahma
Trabelsi, Mehdi
Touati, Dhaker
Saidi, Aymen
Chebbi, Faouzi
author_sort Landolsi, Sana
collection PubMed
description INTRODUCTION: Carcinological right colectomy with complete D3 mesocolon excision has to be guided by vascular variants in order to avoid complications especially in exceptional cases as illustrated by our two cases. CASE PRESENTATIONS: Two women had right colectomies with compete D3 mesocolon excision via laparotomy for right colon tumors with a non-modal anatomy: an X-shaped relationship between the superior mesenteric artery and the superior mesenteric vein and a Y-shaped superior mesenteric vein, an ileocolic artery behind the two trunks, a right colic artery behind the left trunk, and the middle colic artery anterior to the main trunk of the superior mesenteric vein respectively. DISCUSSION: Our cases illustrated extremely rare vascular variants during right colectomy with complete mesocolic excision. These variants should be identified based on the computed tomography with coronal reconstructions allowing to guide surgical procedure before the operating room in order to anticipate per-operative difficulties and reduce morbidity. CONCLUSIONS: Vascular anatomical study based on computed tomography with coronal reconstructions was mandatory before right colectomy with complete mesocolic excision and D3 lymphadenectomy.
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spelling pubmed-105207972023-09-27 Exceptional vascular variants during oncological right colectomy: Case reports Landolsi, Sana Youssfi, Rahma Trabelsi, Mehdi Touati, Dhaker Saidi, Aymen Chebbi, Faouzi Int J Surg Case Rep Case Report INTRODUCTION: Carcinological right colectomy with complete D3 mesocolon excision has to be guided by vascular variants in order to avoid complications especially in exceptional cases as illustrated by our two cases. CASE PRESENTATIONS: Two women had right colectomies with compete D3 mesocolon excision via laparotomy for right colon tumors with a non-modal anatomy: an X-shaped relationship between the superior mesenteric artery and the superior mesenteric vein and a Y-shaped superior mesenteric vein, an ileocolic artery behind the two trunks, a right colic artery behind the left trunk, and the middle colic artery anterior to the main trunk of the superior mesenteric vein respectively. DISCUSSION: Our cases illustrated extremely rare vascular variants during right colectomy with complete mesocolic excision. These variants should be identified based on the computed tomography with coronal reconstructions allowing to guide surgical procedure before the operating room in order to anticipate per-operative difficulties and reduce morbidity. CONCLUSIONS: Vascular anatomical study based on computed tomography with coronal reconstructions was mandatory before right colectomy with complete mesocolic excision and D3 lymphadenectomy. Elsevier 2023-09-22 /pmc/articles/PMC10520797/ /pubmed/37742356 http://dx.doi.org/10.1016/j.ijscr.2023.108853 Text en © 2023 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Landolsi, Sana
Youssfi, Rahma
Trabelsi, Mehdi
Touati, Dhaker
Saidi, Aymen
Chebbi, Faouzi
Exceptional vascular variants during oncological right colectomy: Case reports
title Exceptional vascular variants during oncological right colectomy: Case reports
title_full Exceptional vascular variants during oncological right colectomy: Case reports
title_fullStr Exceptional vascular variants during oncological right colectomy: Case reports
title_full_unstemmed Exceptional vascular variants during oncological right colectomy: Case reports
title_short Exceptional vascular variants during oncological right colectomy: Case reports
title_sort exceptional vascular variants during oncological right colectomy: case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520797/
https://www.ncbi.nlm.nih.gov/pubmed/37742356
http://dx.doi.org/10.1016/j.ijscr.2023.108853
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