Analysis of anatomic variants of mesenteric veins by 3-dimensional portography using multidetector-row computed tomography

Sakaguchi, Takanori; Suzuki, Shohachi; Morita, Yoshifumi; Oishi, Kosuke; Suzuki, Atsushi; Fukumoto, Kazuhiko; Inaba, Keisuke; Kamiya, Kinji; Ota, Manabu; Setoguchi, Tomohiko; Takehara, Yasuo; Nasu, Hatsuko; Nakamura, Satoshi; Konno, Hiroyuki

doi:10.1016/j.amjsurg.2009.05.017

« Previous Next »The American Journal of Surgery
Volume 200, Issue 1 , Pages 15-22, July 2010

Analysis of anatomic variants of mesenteric veins by 3-dimensional portography using multidetector-row computed tomography

Takanori Sakaguchi, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
- Corresponding author. Tel.: +81-53-435-2279; fax: +81-53-435-2273
Shohachi Suzuki, M.D.
- Department of Surgery, Iwata City Hospital, Iwata, Japan
Yoshifumi Morita, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Kosuke Oishi, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Atsushi Suzuki, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Kazuhiko Fukumoto, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Keisuke Inaba, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Kinji Kamiya, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Manabu Ota, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Tomohiko Setoguchi, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Yasuo Takehara, M.D.
- Department of Radiology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Hatsuko Nasu, M.D.
- Department of Surgery, Iwata City Hospital, Iwata, Japan
Satoshi Nakamura, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan
Hiroyuki Konno, M.D.
- Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan

Received 20 May 2009; received in revised form 28 May 2009 published online 15 January 2010.

Abstract

Background

It is important to be aware of mesenteric venous variants to perform peripancreatic surgery. We investigated the usefulness of 3-dimensional (3-D) portography.

Methods

Vessels were reconstructed using computer software in 102 patients undergoing multidetector-row computed tomography (MDCT) scheduled for gastrointestinal or hepatobiliary-pancreatic surgery.

Results

The superior mesenteric vein (SMV) was composed of single and double trunks around the splenoportal confluence in 78 and 24 patients, respectively. The inferior mesenteric vein joined the splenic vein (68.5%), SMV (18.5%), and splenoportal confluence (7.6%). The left gastric vein joined the splenic vein (46.3%), portal vein (39.0%), and splenoportal confluence (14.7%). Seventy-nine patients showed a gastrocolic trunk, mostly composed of the right gastroepiploic vein and veins from the colonic hepatic flexure. Intraoperative findings were identical to 3-D diagnosis in 68 gastrectomized and 9 pancreatectomized patients.