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Middle colic vein draining to splenic vein: a rare anatomic variation encountered during a right hemicolectomy

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Middle colic vein draining to splenic vein: a rare anatomic variation encountered during a right hemicolectomy
Chrysikos, Dimosthenis Sgantzos, Markos Tsiaoussis, John and Piperos, Theodoros Varlatzidou, Alexandra Bonatsos, Vasileios and Theodoropoulos, Panagiotis Noussios, George Troupis, Theodore Papapanagiotou, Ioannis Mariolis-Sapsakos, Theodoros
scientific_publication_article
Επιστημονική δημοσίευση - Άρθρο Περιοδικού (EL)
Scientific publication - Journal Article (EN)
2018
Right or subtotal colectomy either open or laparoscopic may be a challenging operation owing to technical difficulties. One of these, is to identify a safe and adequate dissection plane, ligating and dissecting lymph nodes around middle colic vessels. The purpose of this study was to depict a rare anatomic variation of middle colic vein (MCV) draining to splenic vein. We report the case of a 55-year-old male patient, who was subjected to a right hemicolectomy for an adenocarcinoma in the ascending colon. During dissecting the transverse mesocolon from the greater omentum, for complete mesocolic excision (CME), we encountered that the MCV drained in the splenic vein. With respect of this rare anatomic variability, CME was completed without hemorrhage. Our aim is to depict that deep knowledge of MCV anatomy and its variations is of paramount importance to achieve CME and to avoid dangerous or massive bleeding. (EN)
English
Ερευνητικό υλικό ΕΚΠΑ
https://creativecommons.org/licenses/by-nc/4.0/
University of Athens
Pergamos Digital Library
Journal Article



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