Value of abdominal CT angiography and colonic three-dimensional imaging before laparoscopic radical resection of colon cancer

YIN Jinli; SHI Na; DONG Xinxin; LU Guangmei; WANG Xinwei

PDF(1199 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2020, Vol. 31 ›› Issue (5) : 409-413.

Value of abdominal CT angiography and colonic three-dimensional imaging before laparoscopic radical resection of colon cancer

YIN Jinli, SHI Na, DONG Xinxin, LU Guangmei, WANG Xinwei

Author information +

History +

Abstract

Objective To study the value of abdominal spiral CT angiography (CTA) and three-dimensional imaging of colon before laparoscopic radicalesection of colon cancer. Methods The clinical data of eighty colon cancer patients from September 2017 to February 2019 was collected. According to preoperative examination, patients were divided into two groups: the combined imaging group and the conventional CT group,there were 40 patients in each group. The baseline data, intraoperative and postoperative related indexes were compared.The value of combined imagingof tumor were also analyzed. Results In the combined imaging group, the intraoperative blood loss (137.34±59.68) ml was less than that in the routine CT group (181.75±53.42) ml (P=0.001), the operation time (165.90±47.85) min was shorter than that in the conventional CT group (192.88±43.16) min (P=0.010), and the total postoperative abdominal drainage (61.03±18.82) ml was less than that in the routine CT group (73.10±21.16) ml (P=0.009). CTA combined with three-dimensional fusion images can directly display the panoramic images of various tissues and organs, colon tumors and their blood vessels. Conclusions Preoperative abdominal CTA and three-dimensional imaging of the colon have certain advantages, as this method can identify the anatomical location of the colon tumor and its blood supply vessels, and also can effectively shorten the operation time and reduce the amount of intraoperative bleeding. In addition, it may be more helpful to young and unskilled doctors.

Key words

colon cancer / laparoscopic surgery / spiral CT angiography / three-dimensional image technology

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YIN Jinli, SHI Na, DONG Xinxin, LU Guangmei, WANG Xinwei. Value of abdominal CT angiography and colonic three-dimensional imaging before laparoscopic radical resection of colon cancer[J]. Medical Journal of the Chinese People Armed Police Forces. 2020, 31(5): 409-413

References

[1] Chesney T R, Nadler A, Acuna S A,et al.Outcomes of resection for locoregionally recurrent colon cancer: a systematic review[J]. Surgery, 2016, 160(1):54-66.
[2] Bronzwaer M, Dekker E, Weingart V,et al. Feasibility, safety, and diagnostic yield of the Extra Wide Angle View (EWAVE) colonoscope for the detection of colorectal lesions[J]. Endoscopy, 2017, 50(1):63-68.
[3] Salmaninejad A, Zamani M R, Pourvahedi M, et al. Cancer/Testis antigens: expression, regulation, tumor invasion, and use in immunotherapy of cancers[J].Immunol Invest, 2016, 45(7):619-640.
[4] Yan H, Konstorum A, Lowengrub J S. Three-dimensional spatiotemporal modeling of colon cancer organoids reveals that multimodal control of stem cell self-renewal is a critical determinant of size and shape in early stages of tumor growth[J]. Bull Math Biol, 2017,23:1-30.
[5] 贾永军, 于勇, 贺太平,等. 新一代基于模型的迭代重建在低剂量上腹部CT中的应用[J]. 中国医学影像技术, 2017, 33(12):1882-1887.
[6] Zhang L J, Wang Y, Schoepf U J, et al.Image quality, radiation dose, and diagnostic accuracy of prospectively ECG-triggered high-pitch coronary CT angiography at 70 kVp in a clinical setting: comparison with invasive coronary angiography[J]. Eur Radiol, 2016, 26(3):797-806.
[7] Xiao Y D, Paudel R, Liu J,et al. MRI contrast agents: classification and application (Review)[J]. Int J Mol Med, 2016, 38(5):1319-1326.
[8] Saia M, Buja A, Sartor G, et al. Colon cancer surgery: a retrospective study based on a large administrative database[J]. Surg Laparosc Endosc Percutan Tech, 2016, 26(6):e126-e131.
[9] Hüttner F J, Probst P, Knebel P, et al. Meta-analysis of prophylactic abdominal drainage in pancreatic surgery[J]. Br J Surg, 2017, 104(6):660-668.
[10] 童宜欣,龚建平.右半结肠癌D3+CME关键技术[J]. 中华结直肠疾病电子杂志,2017,6(4):280-283.
[11] Bertelsen C A, Kirkegaard-Klitbo A, Nielsen M, et al. Pattern of colon cancer lymph node metastases in patients undergoing central mesocolic lymph node excision: a systematic review[J]. Dis Colon Rectum, 2016, 59(12):1209-1221.
[12] Feinberg A E, Chesney T R, Acuna S A,et al.Oncologic outcomes following laparoscopic versus open resection of pT4 colon cancer: a systematic review and meta-analysis[J]. Dis Colon Rectum, 2017, 60(1):116-125.
[13] 杨强帮, 戎祯祥, 张浩,等. 腹腔镜右半结肠癌D3根治术的术前MSCT三维重建观测指标的探讨[J]. 广东医学, 2016, 37(18):2757-2759.
[14] Fidler J L, Murthy N S, Khosla S,et al. Comprehensive assessment of osteoporosis and bone fragility with CT colonography[J]. Radiology, 2016, 278(1):172-180.
[15] Schreyer A G, Wessling J, Kinner S,et al. A review of scientific topics and literature in abdominal radiology in Germany-part 1: gastrointestinal tract[J]. Rofo, 2016, 188(2):134-145.
[16] Krüger J A P, Fonseca G M, Coelho F F, et al.Laparoscopic right hepatectomy for cirrhotic patients: Takasaki's hilar control and caudal approach[J]. Ann Surg Oncol, 2017, 24(2):558-559.
[17] Lorenzo A J, Romao R L. The evolving role of minimally invasive surgery in pediatric and adolescent urologic oncology[J]. Urology, 2016, 91:180-189.
[18] Zhao B, Lin F, Wu J, et al. A multicenter analysis of CT angiography alone versus digital subtraction angiography for surgical treatment of poor-grade aneurysmal subarachnoid hemorrhage[J]. World Neurosurg, 2016, 91:106-111.
[19] 周静, 姚旬, 张辉,等. CT诊断壁外血管侵犯联合CA19-9对Ⅲ期结肠癌病人预后预测价值研究[J]. 中国实用外科杂志, 2017, 37(1):88-92.