Wang Chen1, Jianbo Gao2, Diansen Chen3. 1. Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052; Department of Imaging, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, Henan, China. 2. Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. 3. Department of Imaging, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, Henan, China.
Abstract
OBJECTIVE: This study aims to investigate the application values of preoperative multislice spiral computed tomography angiography (MSCTA) in laparoscopic radical resection of gastric carcinoma (GC). MATERIALS AND METHODS: A total of 108 GC patients were divided into Groups I (i.e., where preoperative MSCTA was performed; n = 60) and II (i.e., where preoperative MSCTA was not performed; n = 48). Surgery was performed by the same group of surgeons. RESULTS: Seven cases of blood vascular variation were detected in Group I during surgery, whereas four cases were detected in Group II. The operation time for Group I ([207 ± 24] min) was shorter than that for Group II ([260 ± 31] min) (95% confidence interval [95% CI]: -21.543--0.920, P = 0.044). The operation time of patients with gastric vascular anatomic variation in Group I ([189 ± 49] min) was shorter than that of patients in Group II ([257 ± 61] min) (95% CI: -99.68--3.201, P = 0.048). The differences in the number of lymph node dissection, average blood loss, eating time, complication rate, and postoperative hospital stay between the two groups was not statistically significant (P > 0.05). CONCLUSIONS: MSCTA before endoscopic radical resection exhibits guiding values in assessing blood vascular variations and shortening operation times.
OBJECTIVE: This study aims to investigate the application values of preoperative multislice spiral computed tomography angiography (MSCTA) in laparoscopic radical resection of gastric carcinoma (GC). MATERIALS AND METHODS: A total of 108 GC patients were divided into Groups I (i.e., where preoperative MSCTA was performed; n = 60) and II (i.e., where preoperative MSCTA was not performed; n = 48). Surgery was performed by the same group of surgeons. RESULTS: Seven cases of blood vascular variation were detected in Group I during surgery, whereas four cases were detected in Group II. The operation time for Group I ([207 ± 24] min) was shorter than that for Group II ([260 ± 31] min) (95% confidence interval [95% CI]: -21.543--0.920, P = 0.044). The operation time of patients with gastric vascular anatomic variation in Group I ([189 ± 49] min) was shorter than that of patients in Group II ([257 ± 61] min) (95% CI: -99.68--3.201, P = 0.048). The differences in the number of lymph node dissection, average blood loss, eating time, complication rate, and postoperative hospital stay between the two groups was not statistically significant (P > 0.05). CONCLUSIONS: MSCTA before endoscopic radical resection exhibits guiding values in assessing blood vascular variations and shortening operation times.
Authors: Andre Roncon Dias; Amir Zeide Charruf; Marcus Fernando Kodama Pertille Ramos; Ulysses Ribeiro; Bruno Zilberstein; Ivan Cecconello Journal: Ann Surg Oncol Date: 2020-11-10 Impact factor: 5.344