Alternative anatomy of a gastrolic trunk of Genle and her applied value in surgery


Cite item

Full Text

Abstract

Are submitted the data about typical and atypical options of a trunk Genle, to his arhitectonics, topography, existing classifications, morphometric characteristics and cclinical value of anatomic features. It shown, that the anatomy of a trunk of Genle and his inflows has the expressed variability, and practically it isn’t described in Russian-speaking literature. Appreciable number of various options of formation of a trunk of Genle, various frequency of occurrence of these options, morphometric indicators, apparently, depends on the size of selection of the studied objects, a sex and other reasons. Classification is created, reflecting results of a research, and presenting data in foreign literature. It reveal, that, despite a large number of the described versions of the description of this anatomical structure, there is no uniform idea of the veins forming this trunk. Nosological examples are analyzed, showing need of control of options of formation of a trunk of Genle and his morphometric features at expeditious and diagnostic manipulations on organs and vessels of a peritoneal cavity. Without comprehension arhitectonics of roots and inflows of a portal vein, there is a great risk of a surgical mistake which can lead to lethal complications. In general, cases in point are important for surgical practice, in particular, for abdominal surgery and an onkokhirurgiya.

About the authors

I V Gajvoronskij

Военно-медицинская академия им. С.М. Кирова Санкт-Петербургский государственный университет

Санкт-Петербург

B N Kotiv

Военно-медицинская академия им. С.М. Кирова

Санкт-Петербург

N A Kovalenko

Военно-медицинская академия им. С.М. Кирова

Email: dr.kovalenkon@gmail.com
Санкт-Петербург

J V Pelipas’

Национальный медицинский исследовательский центр онкологии имени Н.Н. Петрова

Санкт-Петербург

I D Amelina

Национальный медицинский исследовательский центр онкологии имени Н.Н. Петрова

Санкт-Петербург

O M Fandeeva

Военно-медицинская академия им. С.М. Кирова

Санкт-Петербург

References

  1. Гайворонский, И.В. Нормальная анатомия, 9-е изд. / И.В. Гайворонский. - СПб.: Спецлит, 2016. - Т. 2. - 452 c.
  2. Колесников, Л.Л. Международная анатомическая термино- логия / Л.Л. Колесников. - М.: Медицина, 2003. - 424 с.
  3. Alsabilah, J.F. Intraoperative archive of right colonic vascular variability aids central vascular ligation and redefines gastrocolic trunk of Henle variants / J.F. Alsabilah [et al.] // Dis. Colon Rectum. - 2017. - Vol. 60, № 1. - P. 22-29.
  4. Bonaldi, V.M. Helical CT of the pancreas: a comparison of cine display and film-based viewing / V.M. Bonaldi [et al.] // AJR. Am. J. Radiol. - 1998. - Vol. 170. - P. 373-383.
  5. Bratu, M.R. The gastrocolic trunk of Henle - an anatomical landmark for general surgeons / M.R. Bratu [et al.] // Romanian Journal of Functional & Clinical, Macro- & Microscopical Anatomy & of Anthropology. - 2014. - Vol. 13, №3. - P. 294-296.
  6. Descomps, P. Les veines mésentériques / P. Descomps, G. Lalaubie // J. Anat. Physio. Norm. Pathol. Homme Anim. - 1912. - Vol.48. - P. 337-376.
  7. Falconer, C.W.A. The anatomy of the blood vessels in the region of the pancreas / C.W.A. Falconer, E. Griffiths // Br. J. Surg. - 1950. - Vol. 37. - P. 334-344.
  8. Freeny, P.C. Radiology of the pancreas / P.C. Freeny, T.L. Lawson // Springer Verlag. - 1982. - P. 75.
  9. Gillot, C. The superior mesenteric vein: an anatomic and surgical study of eighty-one subjects / C. Gillot [et al.] // J. Int. Coll. Surg. - 1964. - Vol. 41. - P. 339-369.
  10. Henle, J. Handbuch der Systematischen Anatomie des Menschen, volumes. Handbuch der Gefaesslehre des Menschen / J. Hen- le - Braunschweig: Friedrich Vieweg und Sohn, 1868. - P. 371.
  11. Hommeyer, S.C. Carcinoma of the head of the pancreas: evalua- tion of the pancreaticoduodenal veins with dynamic CT. Potential for improved accuracy in staging / S.C. Hommeyer, P.C. Freeny, L.G. Crabo // Radiology. - 1995. - Vol. 196. - P. 233-238.
  12. Ignjatovic, D. Venous anatomy of the right colon: three-dimen- sional topographic mapping of the gastrocolic trunk of Henle / D. Ignjatovic [et al.] // Tech. Coloproctol. - 2004. - Vol. 8, № 1. - P. 19-22.
  13. Jin, G. Anatomic study of the superior right colic vein: its relevance to pancreatic and colonic surgery / G. Jin [et al.] // Am. J. Surg. - 2006. - Vol. 191. - P. 100-103.
  14. Kuzu, M.A. Variations in the vascular anatomy of the right colon and implications for right-sided colon surgery / M.A. Kuzu [et al.] // Dis. Colon Rectum. - 2017. - Vol. 60, № 3. - P. 290-298.
  15. Lange, J.F. The gastrocolic trunk of Henle in pancreatic surgery: an anatomo-clinical study / J.F. Lange [et al.] // J. Hepatobiliary Pancreat. Surg. - 2000. - Vol. 7. - P. 401-403.
  16. Mallet-Guy, P. Le danger veineux dans les duodeno- pancreatectomies pour cancer, precisions anatomiques / P. 128 2 (62) - 2018 ВЕСТНИК РОССИЙСКОЙ ВОЕННО-МЕДИЦИНСКОЙ АКАДЕМИИ Экспериментальные исследования Mallet-Guy, M. Latarget, J. Sautot // Congres Francais Chir. - 1949. - P. 179-183.
  17. Miyazawa, M. Preoperative evaluation of the confluent drainage veins to the gastrocolic trunk of Henle: understanding the surgical vascular anatomy during pancreaticoduodenectomy / M. Miyazawa [et al.] // J. Hepatobiliary Pancreat. Sci. - 2015. - Vol. 22, № 5. - P. 386-391.
  18. Mori, H. The gastrocolic trunk and its tributaries: CT evaluation / H. Mori [et al.] // Radiology. - 1992. - Vol. 182. - P. 871-877.
  19. Nyhus, L.M. Mastery of surgery, 3rd edn. / L.M. Nyhus, R.J. Baker, J.E. Fischer - Little, Brown, Boston, 1997. - 2139 p.
  20. Reichardt, W. Anatomy of the pancreatic veins. A postmortem and clinical phlebographic investigation / W. Reichardt, R. Cameron // Acta Radiol. - 1980. - Vol. 21. - P. 33-41.
  21. Rose, J. Complications in laparoscopic colorectal surgery: results of a multicentre trial / J. Rose [et al.] // Tech. Coloproctol. - 2004. - Vol. 8. - P. 25-28.
  22. Veldkamp, R. Colon cancer laparoscopic or open resection study group (COLOR). Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial / R. Veldkamp // Lancet Oncol. - 2005. - Vol. 6. - P. 477-484.
  23. Voiglio, E.J. Gastrocolic vein. Definition and report of two cases of avulsion / E.J. Voiglio [et al.] // Surg. Radiol. Anat. - 1998. - Vol. 20. - P. 197-201.
  24. Yamaguchi, S. Venous anatomy of the right colon. Precise struc- ture of the major veins and gastrocolic trunk in 58 cadavers / S. Yamaguchi [et al.] // Dis. Colon Rectum. Vol. 45, № 10. P. 1337-1339.
  25. Zhang, J. Radioanatomic study of the gastrocolic venous trunk / J. Zhang [et al.] // Surg. Radiol. Anat. - 1994. - Vol. 16. - P. 413-418.

Copyright (c) 2018 Gajvoronskij I.V., Kotiv B.N., Kovalenko N.A., Pelipas’ J.V., Amelina I.D., Fandeeva O.M.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies