Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study

doi:10.1007/s00464-019-07247-2

Multicenter Study

. 2020 Oct;34(10):4655-4661.

doi: 10.1007/s00464-019-07247-2. Epub 2019 Nov 18.

Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study

Zirui He^#¹, Hao Su^#¹, Kai Ye², Yueming Sun³, Yincong Guo⁴, Quan Wang⁵, Yong Li⁶, Dechang Diao⁷, Chunkang Yang⁸, Nan Wang⁹, Ang Li¹⁰, WeiDong Tong¹¹, Peirong Ding¹², Yi Xiao¹³, Xiaojun Zhou¹⁴, Zhangfa Song¹⁵, Su Yan¹⁶, Hongwei Yao¹⁷, Wenjian Meng¹⁸, Donglei Zhou¹⁹, Anlong Zhu²⁰, Yuan Gao²¹, Hao Wang²², Yiming Zhou²³, Xinxiang Li²⁴, Liang Kang²⁵, Minhua Zheng²⁶, Bo Feng²⁷

Affiliations

¹ Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China.
² Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
³ The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
⁴ Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
⁵ The First Hospital of Jilin University, Changchun, China.
⁶ Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
⁷ Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China.
⁸ Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, China.
⁹ Tangdu Hospital, Air Force Medical University, Xi'an, China.
¹⁰ Xuanwu Hospital Capital Medical University, Beijing, China.
¹¹ Daping Hospital, Army Medical University, Chongqing, China.
¹² Sun Yat-Sen University Cancer Center, Guangzhou, China.
¹³ Peking Union Medical Collage Hospital, Chinese Academy of Medical Sciences, Beijing, China.
¹⁴ The First Affiliated Hospital of Soochow University, Suzhou, China.
¹⁵ Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China.
¹⁶ Qinghai University Affiliated Hospital, Xining, China.
¹⁷ Beijing Friendship Hospital, Capital Medical University, Beijing, China.
¹⁸ West China Hospital, Nanchong, China.
¹⁹ Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
²⁰ First Affiliated Hospital of Harbin Medical University, Harbin, China.
²¹ Affiliated Hospital of Qingdao University, Qingdao, China.
²² Changhai Hospital, Navy Military Medical University, Shanghai, China.
²³ HuaShan Hospital, Fudan University Shanghai Medical College, Shanghai, China.
²⁴ Fudan University Shanghai Cancer Center, Shanghai, China.
²⁵ The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
²⁶ Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China. zmhtiger@yeah.net.
²⁷ Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China. fengbo2022@163.com.

^# Contributed equally.

PMID: 31741161
DOI: 10.1007/s00464-019-07247-2

Multicenter Study

Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study

Zirui He et al. Surg Endosc. 2020 Oct.

. 2020 Oct;34(10):4655-4661.

doi: 10.1007/s00464-019-07247-2. Epub 2019 Nov 18.

Authors

Affiliations

¹ Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China.
² Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
³ The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
⁴ Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
⁵ The First Hospital of Jilin University, Changchun, China.
⁶ Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
⁷ Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China.
⁸ Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, China.
⁹ Tangdu Hospital, Air Force Medical University, Xi'an, China.
¹⁰ Xuanwu Hospital Capital Medical University, Beijing, China.
¹¹ Daping Hospital, Army Medical University, Chongqing, China.
¹² Sun Yat-Sen University Cancer Center, Guangzhou, China.
¹³ Peking Union Medical Collage Hospital, Chinese Academy of Medical Sciences, Beijing, China.
¹⁴ The First Affiliated Hospital of Soochow University, Suzhou, China.
¹⁵ Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China.
¹⁶ Qinghai University Affiliated Hospital, Xining, China.
¹⁷ Beijing Friendship Hospital, Capital Medical University, Beijing, China.
¹⁸ West China Hospital, Nanchong, China.
¹⁹ Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
²⁰ First Affiliated Hospital of Harbin Medical University, Harbin, China.
²¹ Affiliated Hospital of Qingdao University, Qingdao, China.
²² Changhai Hospital, Navy Military Medical University, Shanghai, China.
²³ HuaShan Hospital, Fudan University Shanghai Medical College, Shanghai, China.
²⁴ Fudan University Shanghai Cancer Center, Shanghai, China.
²⁵ The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
²⁶ Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China. zmhtiger@yeah.net.
²⁷ Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China. fengbo2022@163.com.

^# Contributed equally.

PMID: 31741161
DOI: 10.1007/s00464-019-07247-2

Abstract

Background: As a key landmark during laparoscopic right colectomy, the classification and variation of the gastrocolic trunk of Henle (GTH) remains to be clarified. The aim of this nationwide multicenter study was to describe the characteristics of the GTH intra-operatively during laparoscopic right colectomies.

Methods: Three hundred seventy-one patients who underwent laparoscopic right colectomies from January 2018 to March 2019 in 25 hospitals across China were enrolled in the study. The length of the GTH, the classification with a precise description of confluent tributaries, and other variations were analyzed.

Results: Of the 371 patients, 363 had a GTH. The proportion of type-0, type-I, type-II, and type-III was 15.2% (n = 55), 54.8% (n = 199), 25.3% (n = 92), and 4.7% (n = 17), respectively. The average length of the GTH was 8.5 mm, ranging from 2 to 30 mm.

Conclusions: This is the first multicenter study with a large sample by which the GTH was classified based on laparoscopic intraoperative observation. Variations in the GTH were classified into four types based on the number of colic drainage veins (right colic, superior right colic, middle colic, accessory middle colic, and ileocolic veins), among which the right colic vein was the most common. The length of the GTH was relatively short, and thus might carry a risk of bleeding. Further clinical data should be correlated with the characteristics of the GTH.

Keywords: Anatomic variation; Classification; Gastrocolic trunk of Henle; Laparoscopic right colectomy.

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References

1. Schlinkert RT (1991) Laparoscopic-assisted right hemicolectomy. Dis Colon Rectum 34:1030–1031. https://doi.org/10.1007/bf02049971 - DOI - PubMed
1. Hazebroek EJ (2002) Color. Surg Endosc 16:949–953. https://doi.org/10.1007/s00464-001-8165-z - DOI - PubMed
1. Kim JW, Kim JY, Kang BM, Lee BH, Kim BC, Park JH (2016) Short- and long-term outcomes of laparoscopic surgery vs open surgery for transverse colon cancer: a retrospective multicenter study. Onco Targets Ther 9:2203–2209. https://doi.org/10.2147/OTT.S103763 - DOI - PubMed - PMC
1. Veldkamp R (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484. https://doi.org/10.1016/s1470-2045(05)70221-7 - DOI - PubMed
1. Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation—technical notes and outcome. Colorectal Dis 11:354–364. https://doi.org/10.1111/j.1463-1318.2008.01735.x - DOI - PubMed

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[1] Schlinkert RT (1991) Laparoscopic-assisted right hemicolectomy. Dis Colon Rectum 34:1030–1031. https://doi.org/10.1007/bf02049971 - DOI - PubMed

[2] Schlinkert RT (1991) Laparoscopic-assisted right hemicolectomy. Dis Colon Rectum 34:1030–1031. https://doi.org/10.1007/bf02049971 - DOI - PubMed

[3] Hazebroek EJ (2002) Color. Surg Endosc 16:949–953. https://doi.org/10.1007/s00464-001-8165-z - DOI - PubMed

[4] Hazebroek EJ (2002) Color. Surg Endosc 16:949–953. https://doi.org/10.1007/s00464-001-8165-z - DOI - PubMed

[5] Kim JW, Kim JY, Kang BM, Lee BH, Kim BC, Park JH (2016) Short- and long-term outcomes of laparoscopic surgery vs open surgery for transverse colon cancer: a retrospective multicenter study. Onco Targets Ther 9:2203–2209. https://doi.org/10.2147/OTT.S103763 - DOI - PubMed - PMC

[6] Kim JW, Kim JY, Kang BM, Lee BH, Kim BC, Park JH (2016) Short- and long-term outcomes of laparoscopic surgery vs open surgery for transverse colon cancer: a retrospective multicenter study. Onco Targets Ther 9:2203–2209. https://doi.org/10.2147/OTT.S103763 - DOI - PubMed - PMC

[7] Veldkamp R (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484. https://doi.org/10.1016/s1470-2045(05)70221-7 - DOI - PubMed

[8] Veldkamp R (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484. https://doi.org/10.1016/s1470-2045(05)70221-7 - DOI - PubMed

[9] Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation—technical notes and outcome. Colorectal Dis 11:354–364. https://doi.org/10.1111/j.1463-1318.2008.01735.x - DOI - PubMed

[10] Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation—technical notes and outcome. Colorectal Dis 11:354–364. https://doi.org/10.1111/j.1463-1318.2008.01735.x - DOI - PubMed

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Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study

Affiliations

Anatomical characteristics and classifications of gastrocolic trunk of Henle in laparoscopic right colectomy: preliminary results of multicenter observational study

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