Distance from left renal vein to inferior pancreaticoduodenal artery: A landmark for identifying inferior pancreaticoduodenal artery in pancreatoduodenectomy

Yoshito Tomimaru, Kaishu Tanaka, Kozo Noguchi, Hisanori Hatano, Hidetoshi Eguchi, Keizo Dono

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Background/Aim: During pancreatoduodenectomy, early ligation of major afferent arteries to pancreatic head prior to dissection of the corresponding veins may reduce intraoperative bleeding. Inferior pancreaticoduodenal artery (IPDA), one of the major afferent arteries, is difficult to identify. We measured the distance from left renal vein to IPDA based on preoperative multi-detector row computed tomography (MDCT) images for use as a new landmark for IPDA. Methods: The distance between left renal vein and IPDA was measured in 417 patients using MDCT images. Results: IPDA was identified on MDCT images in 415 out of the 417 patients (99.5%). The root of IPDA was located on cranial side of the root of left renal vein in 88 among the 415 patients (21.2%), and the distance was expressed as negative in these cases. The distance was 6.09 ± 7.46 mm. The distance when IPDA formed a common vessel with first jejunal artery (8.03 ± 6.74 mm; 323 cases, 77.8%) was significantly longer than when IPDA branched directly from superior mesenteric artery (SMA; -0.81 ± 5.74 mm; 62 cases, 15.0%) or posterior and anterior IPDAs branched separately from SMA (-2.04 ± 5.36 mm; 30 cases, 7.2%). Conclusions: The distance between left renal vein and IPDA can serve as a landmark for IPDA identification.

元の言語英語
ページ(範囲)335-339
ページ数5
ジャーナルDigestive Surgery
34
発行部数4
DOI
出版物ステータス出版済み - 7 1 2017
外部発表Yes

Fingerprint

Renal Veins
Pancreaticoduodenectomy
Arteries
Tomography
Superior Mesenteric Artery
Ligation
Dissection
Veins

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

これを引用

Distance from left renal vein to inferior pancreaticoduodenal artery : A landmark for identifying inferior pancreaticoduodenal artery in pancreatoduodenectomy. / Tomimaru, Yoshito; Tanaka, Kaishu; Noguchi, Kozo; Hatano, Hisanori; Eguchi, Hidetoshi; Dono, Keizo.

:: Digestive Surgery, 巻 34, 番号 4, 01.07.2017, p. 335-339.

研究成果: ジャーナルへの寄稿記事

Tomimaru, Yoshito ; Tanaka, Kaishu ; Noguchi, Kozo ; Hatano, Hisanori ; Eguchi, Hidetoshi ; Dono, Keizo. / Distance from left renal vein to inferior pancreaticoduodenal artery : A landmark for identifying inferior pancreaticoduodenal artery in pancreatoduodenectomy. :: Digestive Surgery. 2017 ; 巻 34, 番号 4. pp. 335-339.
@article{8a527672225d465aac518cb0c1d72388,
title = "Distance from left renal vein to inferior pancreaticoduodenal artery: A landmark for identifying inferior pancreaticoduodenal artery in pancreatoduodenectomy",
abstract = "Background/Aim: During pancreatoduodenectomy, early ligation of major afferent arteries to pancreatic head prior to dissection of the corresponding veins may reduce intraoperative bleeding. Inferior pancreaticoduodenal artery (IPDA), one of the major afferent arteries, is difficult to identify. We measured the distance from left renal vein to IPDA based on preoperative multi-detector row computed tomography (MDCT) images for use as a new landmark for IPDA. Methods: The distance between left renal vein and IPDA was measured in 417 patients using MDCT images. Results: IPDA was identified on MDCT images in 415 out of the 417 patients (99.5{\%}). The root of IPDA was located on cranial side of the root of left renal vein in 88 among the 415 patients (21.2{\%}), and the distance was expressed as negative in these cases. The distance was 6.09 ± 7.46 mm. The distance when IPDA formed a common vessel with first jejunal artery (8.03 ± 6.74 mm; 323 cases, 77.8{\%}) was significantly longer than when IPDA branched directly from superior mesenteric artery (SMA; -0.81 ± 5.74 mm; 62 cases, 15.0{\%}) or posterior and anterior IPDAs branched separately from SMA (-2.04 ± 5.36 mm; 30 cases, 7.2{\%}). Conclusions: The distance between left renal vein and IPDA can serve as a landmark for IPDA identification.",
author = "Yoshito Tomimaru and Kaishu Tanaka and Kozo Noguchi and Hisanori Hatano and Hidetoshi Eguchi and Keizo Dono",
year = "2017",
month = "7",
day = "1",
doi = "10.1159/000453553",
language = "English",
volume = "34",
pages = "335--339",
journal = "Digestive Surgery",
issn = "0253-4886",
publisher = "S. Karger AG",
number = "4",

}

TY - JOUR

T1 - Distance from left renal vein to inferior pancreaticoduodenal artery

T2 - A landmark for identifying inferior pancreaticoduodenal artery in pancreatoduodenectomy

AU - Tomimaru, Yoshito

AU - Tanaka, Kaishu

AU - Noguchi, Kozo

AU - Hatano, Hisanori

AU - Eguchi, Hidetoshi

AU - Dono, Keizo

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Background/Aim: During pancreatoduodenectomy, early ligation of major afferent arteries to pancreatic head prior to dissection of the corresponding veins may reduce intraoperative bleeding. Inferior pancreaticoduodenal artery (IPDA), one of the major afferent arteries, is difficult to identify. We measured the distance from left renal vein to IPDA based on preoperative multi-detector row computed tomography (MDCT) images for use as a new landmark for IPDA. Methods: The distance between left renal vein and IPDA was measured in 417 patients using MDCT images. Results: IPDA was identified on MDCT images in 415 out of the 417 patients (99.5%). The root of IPDA was located on cranial side of the root of left renal vein in 88 among the 415 patients (21.2%), and the distance was expressed as negative in these cases. The distance was 6.09 ± 7.46 mm. The distance when IPDA formed a common vessel with first jejunal artery (8.03 ± 6.74 mm; 323 cases, 77.8%) was significantly longer than when IPDA branched directly from superior mesenteric artery (SMA; -0.81 ± 5.74 mm; 62 cases, 15.0%) or posterior and anterior IPDAs branched separately from SMA (-2.04 ± 5.36 mm; 30 cases, 7.2%). Conclusions: The distance between left renal vein and IPDA can serve as a landmark for IPDA identification.

AB - Background/Aim: During pancreatoduodenectomy, early ligation of major afferent arteries to pancreatic head prior to dissection of the corresponding veins may reduce intraoperative bleeding. Inferior pancreaticoduodenal artery (IPDA), one of the major afferent arteries, is difficult to identify. We measured the distance from left renal vein to IPDA based on preoperative multi-detector row computed tomography (MDCT) images for use as a new landmark for IPDA. Methods: The distance between left renal vein and IPDA was measured in 417 patients using MDCT images. Results: IPDA was identified on MDCT images in 415 out of the 417 patients (99.5%). The root of IPDA was located on cranial side of the root of left renal vein in 88 among the 415 patients (21.2%), and the distance was expressed as negative in these cases. The distance was 6.09 ± 7.46 mm. The distance when IPDA formed a common vessel with first jejunal artery (8.03 ± 6.74 mm; 323 cases, 77.8%) was significantly longer than when IPDA branched directly from superior mesenteric artery (SMA; -0.81 ± 5.74 mm; 62 cases, 15.0%) or posterior and anterior IPDAs branched separately from SMA (-2.04 ± 5.36 mm; 30 cases, 7.2%). Conclusions: The distance between left renal vein and IPDA can serve as a landmark for IPDA identification.

UR - http://www.scopus.com/inward/record.url?scp=85009952066&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009952066&partnerID=8YFLogxK

U2 - 10.1159/000453553

DO - 10.1159/000453553

M3 - Article

C2 - 28099958

AN - SCOPUS:85009952066

VL - 34

SP - 335

EP - 339

JO - Digestive Surgery

JF - Digestive Surgery

SN - 0253-4886

IS - 4

ER -