A topological classification method of the superior mesenteric venous system affluent branches

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Abstract

The authors propose a new classification of the venous return from the right half of the colon anatomical variants. The classification is based on the principles of topology and combinatorics. The article presents the data obtained from the topographic and anatomical study of the venous return from the right hemicolon collected from anatomical material (25 observations), and describes the coding algorithm in each case, allocating it to a particular class according to the proposed classification. A software package block diagram for semi-automatic retopology of venous return from the right half of the colon is also proposed.

About the authors

Semen A. Simbirtsev

North-Western State Medical University named after I.I. Mechnikov

Email: Semen.Simbirtcev@szgmu.com

Доктор медицинских наук, профессор, член-корреспондент РАН, Заслуженный деятель науки РСФСР, лауреат премии Правительства РФ в области образования (1999), Почетный доктор Санкт-Петербургской медицинской академии последипломного образования Министерства здравоохранения РФ, действительный член Петровской академии наук и искусств, руководитель ведущей научно-педагогической школы Санкт-Петербурга в области деятельности «Хирургия», член комиссии по помилованию при губернаторе Санкт-Петербурга.

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Evgeniy M. Trunin

North-Western State Medical University named after I.I. Mechnikov

Email: etrunin@mail.ru

Заведующий кафедрой оперативной клинической хирургии с топографической анатомией, д.м.н., профессор

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Aleksandr A. Smirnov

North-Western State Medical University named after I.I. Mechnikov

Email: savmeda@yandex.ru
ORCID iD: 0000-0002-2661-3759

MD, PhD, Associate Professor of the  Department of operative and clinical surgery with topographic anatomy
North-Western State Medical University named after I.I.Mechnikov, Saint-Petersburg, Russia
Project manager, editor of the international periodic scientific and practical peer-reviewed journal "BALTIC FORUM OF CONTEMPORARY ENDOCRINOLOGY" (official journal of the Association of Neuroimmunoendocrinology Research).
41, Kirochnaya street, Saint-Petersburg, 191015

Rustem E. Topuzov

North-Western State Medical University named after I.I.Mechnikov

Email: rustem_topuzov@yahoo.com
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Azat I. Nazmiev

North-Western State Medical University named after I.I.Mechnikov

Email: azat.nazmiev1995@gmail.com
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Artur L. Ovsepyan

Saint Petersburg Electrotechnical University "LETI", Department of bioengineering systems

Email: aqturovsepyan@gmail.com
Russian Federation, 197376, Saint-Petersburg, Professor Popovs st., Apt 5

Pavel A. Sizov

North-Western State Medical University named after I.I.Mechnikov

Author for correspondence.
Email: dunkfree12@gmail.com
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Aleksandr V. Aleksandrov

North-Western State Medical University named after I.I.Mechnikov

Email: a.west96@mail.ru
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Pavel V. Filonov

North-Western State Medical University named after I.I.Mechnikov

Email: neuropavel@gmail.com
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

References

  1. Lee SJ, Park SC, Kim MJ, et al. Vascular Anatomy in Laparoscopic Colectomy for Right Colon Cancer. Dis Colon Rectum. 2016;59(8):718-724. doi: 10.1097/DCR.0000000000000636.
  2. Kuzu MA, İsmail E, Çelik S, et al. Variations in the Vascular Anatomy of the Right Colon and Implications for Right-Sided Colon Surgery. Dis Colon Rectum. 2017;60(3):290-298. doi: 10.1097/DCR.0000000000000777.
  3. Alsabilah J, Kim WR, Kim NK. Vascular Structures of the Right Colon: Incidence and Variations with Their Clinical Implications. Scand J Surg. 2017;106(2):107-115. doi: 10.1177/1457496916650999.
  4. Klauss M, Schöbinger M, Wolf I, et al. Value of three-dimensional reconstructions in pancreatic carcinoma using multidetector CT: Initial results. World J Gastroenterol. 2009;15(46):5827-5832.
  5. http://www.vmtk.org.
  6. https://itk.org.

Supplementary files

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2. Fig. 1. Variant of venous return from the right half of the colon (observation 1): а — photograph of the anatomical preparation; b — sketch. VMS — superior mesenteric vein, VIC — ileocolic vein, VCD — right colic vein, VPD — pancreatoduodenal vein, VCM — middle colic vein, VGED — right gastroepiploic vein

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3. Fig. 2. Variant of venous return from the right half of the colon (observation 10): а — photograph of the anatomical preparation; b — sketch. VMS — superior mesenteric vein, VIC — ileocolic vein, VCD — right colic vein, VPD(S) — superior pancreatoduodenal vein, VPD(AI) — anteriorinferior pandreatoduodenal vein, VCM — middle colic vein, VGED — right gastroepiploic vein

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4. Fig. 3. The topological conversion of the volume figures of the superior mesenteric venous system affluent branches (observation 1)

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5. Fig. 4. The topological conversion of the volume figures of the superior mesenteric venous system affluent branches (observation 10)

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6. Fig. 5. Distribution of individual topological types in the sample (n = 25)

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7. Fig. 6. Flowchart of the software complex for semi-automatic retopology of influx superior mesenteric vein

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Copyright (c) 2018 Simbirtsev S.A., Trunin E.M., Smirnov A.A., Topuzov R.E., Nazmiev A.I., Ovsepyan A.L., Sizov P.A., Aleksandrov A.V., Filonov P.V.

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

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