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Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy

To investigate the clinical value and significance of preoperative three-dimensional computerized tomography angiography (CTA) in laparoscopic radical gastrectomy for gastric cancer. The clinical data were analyzed retrospectively from 214 gastric cancer patients. We grouped according to whether to...

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Autores principales: Liu, Peng, Wei, Meng, Sun, Danping, Zhong, Xin, Liang, Yize, Ouyang, Jun, Zhang, Yuan, Yu, Wenbin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001703/
https://www.ncbi.nlm.nih.gov/pubmed/35410341
http://dx.doi.org/10.1038/s41598-022-09584-0
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author Liu, Peng
Wei, Meng
Sun, Danping
Zhong, Xin
Liang, Yize
Ouyang, Jun
Zhang, Yuan
Yu, Wenbin
author_facet Liu, Peng
Wei, Meng
Sun, Danping
Zhong, Xin
Liang, Yize
Ouyang, Jun
Zhang, Yuan
Yu, Wenbin
author_sort Liu, Peng
collection PubMed
description To investigate the clinical value and significance of preoperative three-dimensional computerized tomography angiography (CTA) in laparoscopic radical gastrectomy for gastric cancer. The clinical data were analyzed retrospectively from 214 gastric cancer patients. We grouped according to whether to perform CTA, and we compared and analyzed the difference of the data between the two groups. The perigastric arteries were classified according to CTA images of patients in the CTA group. The celiac trunk was classified according to Adachi classification: Type I (118/125, 94.4%), Type II (3/125, 2.4%), Type III (0/125, 0%), Type IV (1/125, 0.8%), Type V (2/125, 1.6%), Type VI (1/125, 0.8%). Hepatic artery classification was performed according to Hiatt classification: Type I (102/125, 81.6%), Type II (9/125, 7.2%), Type III (6/125, 4.8%), Type IV (2/125, 1.6%), Type V (3/125, 2.4%), Type VI (0, 0%), Others (3/125, 2.4%). And this study combined vascular anatomy and surgical risk to establish a new splenic artery classification model. In comparison, the operation time, first exhaust time, and estimated blood loss in the CTA group were significantly lower than those in the non-CTA group. In addition, the blood loss in the CTA group combined with ICG (Indocyanine Green) labeled fluorescence laparoscopy was significantly less than that in the group without ICG labeled. Preoperative CTA could objectively evaluate patients' vascular route and variation and then help us avoid or decrease the risk of vascular injury and bleeding. When combined with ICG labeled fluorescence laparoscopy, it could further reduce the risk of iatrogenic injury during the operation and improve postoperative recovery.
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spelling pubmed-90017032022-04-13 Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy Liu, Peng Wei, Meng Sun, Danping Zhong, Xin Liang, Yize Ouyang, Jun Zhang, Yuan Yu, Wenbin Sci Rep Article To investigate the clinical value and significance of preoperative three-dimensional computerized tomography angiography (CTA) in laparoscopic radical gastrectomy for gastric cancer. The clinical data were analyzed retrospectively from 214 gastric cancer patients. We grouped according to whether to perform CTA, and we compared and analyzed the difference of the data between the two groups. The perigastric arteries were classified according to CTA images of patients in the CTA group. The celiac trunk was classified according to Adachi classification: Type I (118/125, 94.4%), Type II (3/125, 2.4%), Type III (0/125, 0%), Type IV (1/125, 0.8%), Type V (2/125, 1.6%), Type VI (1/125, 0.8%). Hepatic artery classification was performed according to Hiatt classification: Type I (102/125, 81.6%), Type II (9/125, 7.2%), Type III (6/125, 4.8%), Type IV (2/125, 1.6%), Type V (3/125, 2.4%), Type VI (0, 0%), Others (3/125, 2.4%). And this study combined vascular anatomy and surgical risk to establish a new splenic artery classification model. In comparison, the operation time, first exhaust time, and estimated blood loss in the CTA group were significantly lower than those in the non-CTA group. In addition, the blood loss in the CTA group combined with ICG (Indocyanine Green) labeled fluorescence laparoscopy was significantly less than that in the group without ICG labeled. Preoperative CTA could objectively evaluate patients' vascular route and variation and then help us avoid or decrease the risk of vascular injury and bleeding. When combined with ICG labeled fluorescence laparoscopy, it could further reduce the risk of iatrogenic injury during the operation and improve postoperative recovery. Nature Publishing Group UK 2022-04-11 /pmc/articles/PMC9001703/ /pubmed/35410341 http://dx.doi.org/10.1038/s41598-022-09584-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Liu, Peng
Wei, Meng
Sun, Danping
Zhong, Xin
Liang, Yize
Ouyang, Jun
Zhang, Yuan
Yu, Wenbin
Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy
title Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy
title_full Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy
title_fullStr Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy
title_full_unstemmed Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy
title_short Study on the application of preoperative three-dimensional CT angiography of perigastric arteries in laparoscopic radical gastrectomy
title_sort study on the application of preoperative three-dimensional ct angiography of perigastric arteries in laparoscopic radical gastrectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001703/
https://www.ncbi.nlm.nih.gov/pubmed/35410341
http://dx.doi.org/10.1038/s41598-022-09584-0
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