PMID- 30386889
OWN - NLM
STAT- MEDLINE
DCOM- 20190415
LR  - 20190415
IS  - 1432-1262 (Electronic)
IS  - 0179-1958 (Linking)
VI  - 34
IP  - 1
DP  - 2019 Jan
TI  - Preoperative anatomical road mapping reduces variability of operating time,
      estimated blood loss, and lymph node yield in right colectomy with extended D3
      mesenterectomy for cancer.
PG  - 151-160
LID - 10.1007/s00384-018-3177-5 [doi]
AB  - OBJECTIVE: To assess the impact of individual patient anatomy on operating time, 
      estimated blood loss (EBL), and lymph node yield in right colectomy with extended
      D3 mesenterectomy, where surgeons have access to a preoperative 3-D
      reconstruction of the vascular anatomy of patients before surgery. Data on the
      impact of individual patient vascular anatomy when surgeons have an anatomical
      road map as a guide at surgery is still missing in the literature. METHOD:
      Consecutive patients enrolled in an ongoing trial were classified into 4 groups
      and 2 subgroups using a 3-D vascular anatomy reconstruction derived from the
      staging CT. Outcome measures are operating time, EBL, vascular events, and D3
      volume lymph node yield. SPSS was used for statistical analysis. RESULTS: One
      hundred seventy-six (77 men) patients included. Mean operating time was 200 +/-
      50 min. Type 4b required significantly longer operating time (mean, 219 +/- 59)
      compared to type 3 (mean, 188 +/- 43) (p = 0.004). Vascular events occurred most 
      often in anatomy type 4b (20.0%) and 3 (19.2%). No difference in EBL and lymph
      node yield was found (p = 0.102 and p = 0.803, respectively). CONCLUSION: The use
      of a roadmap at surgery seems to even differences in operating time, EBL, and
      lymph node yield, independent of the complexity of the individual patient's
      central mesenteric vascular anatomy. The incidents of vascular events requiring
      hemostasis do not cause differences in EBL between the anatomy groups, suggesting
      that preoperative awareness of the anatomy is beneficial at surgery.
FAU - Willard, Christer-Daniel
AU  - Willard CD
AD  - Department of Digestive Surgery, Akershus University Hospital, University of
      Oslo, Lorenskog, Norway.
FAU - Kjaestad, Erik
AU  - Kjaestad E
AD  - Department of Digestive Surgery, Akershus University Hospital, University of
      Oslo, Lorenskog, Norway.
FAU - Stimec, Bojan V
AU  - Stimec BV
AD  - Anatomy Sector, Department of Cell Physiology and Metabolism, Faculty of
      Medicine, University of Geneva, Geneva, Switzerland.
FAU - Edwin, Bjorn
AU  - Edwin B
AD  - Interventional Centre, Gastrointestinal and Pediatric Surgery, Oslo University
      Hospital-Rikshospitalet, Oslo, Norway.
AD  - Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
FAU - Ignjatovic, Dejan
AU  - Ignjatovic D
AUID- ORCID: http://orcid.org/0000-0002-8565-0568
AD  - Department of Digestive Surgery, Akershus University Hospital, University of
      Oslo, Lorenskog, Norway. dexexer01@hotmail.com.
AD  - Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
      dexexer01@hotmail.com.
CN  - RCC Study Group
LA  - eng
PT  - Journal Article
DEP - 20181101
PL  - Germany
TA  - Int J Colorectal Dis
JT  - International journal of colorectal disease
JID - 8607899
SB  - IM
MH  - Aged
MH  - Anatomic Landmarks
MH  - *Blood Loss, Surgical
MH  - *Colectomy
MH  - Colonic Neoplasms/*pathology/*surgery
MH  - Female
MH  - Humans
MH  - Lymph Nodes/*surgery
MH  - Male
MH  - Mesentery/*surgery
MH  - *Operative Time
MH  - *Preoperative Care
OTO - NOTNLM
OT  - 3D vascular anatomy
OT  - Colon cancer
OT  - Estimated Blood Loss
OT  - Lymph node yield
OT  - Operating time
OT  - Right colectomy
OT  - Surgical roadmapping
IR  - Oresland T
FIR - Oresland, Tom
IR  - Bakka AO
FIR - Bakka, Arne O
IR  - Reiertsen O
FIR - Reiertsen, Ola
IR  - Faerden AE
FIR - Faerden, Arne Engebreth
IR  - Thorsen Y
FIR - Thorsen, Yngve
IR  - Andersen SN
FIR - Andersen, Solveig Norheim
IR  - Negaard A
FIR - Negaard, Anne
IR  - Dicko A
FIR - Dicko, Aly
IR  - Pfeffer F
FIR - Pfeffer, Frank
IR  - Forsmo H
FIR - Forsmo, Hovard
IR  - Ytre-Hauge S
FIR - Ytre-Hauge, Sigmund
IR  - Nesgaard JM
FIR - Nesgaard, Jens Marius
IR  - Jacobsen R
FIR - Jacobsen, Russel
IR  - von Brandis KML
FIR - von Brandis, Kari Mette Langerod
IR  - Suhrke P
FIR - Suhrke, Pal
IR  - Luzon J
FIR - Luzon, Javier
IR  - Sevinc B
FIR - Sevinc, Baris
IR  - Andersen BT
FIR - Andersen, Bjarte Tidemann
IR  - Gaupset R
FIR - Gaupset, Robin
IR  - Bergamaschi R
FIR - Bergamaschi, Roberto
IR  - Pullig F
FIR - Pullig, Frieder
IR  - Baral J
FIR - Baral, Joerg
IR  - Ruiz MG
FIR - Ruiz, Marcos Gomez
IR  - Lindstrom J
FIR - Lindstrom, Jonas
IR  - Sheikh AE
FIR - Sheikh, Ariba Ehsan
IR  - Strommen T
FIR - Strommen, Tine
EDAT- 2018/11/06 06:00
MHDA- 2019/04/16 06:00
CRDT- 2018/11/03 06:00
PHST- 2018/10/18 00:00 [accepted]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2019/04/16 06:00 [medline]
PHST- 2018/11/03 06:00 [entrez]
AID - 10.1007/s00384-018-3177-5 [doi]
AID - 10.1007/s00384-018-3177-5 [pii]
PST - ppublish
SO  - Int J Colorectal Dis. 2019 Jan;34(1):151-160. doi: 10.1007/s00384-018-3177-5.
      Epub 2018 Nov 1.