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. 2016 Nov;98(8):560-563.
doi: 10.1308/rcsann.2016.0257. Epub 2016 Aug 9.

The right colic artery: An anatomical demonstration and its relevance in the laparoscopic era

M Haywood  1 , C Molyneux  1 , V Mahadevan  2 , J Lloyd  1 , N Srinivasaiah  3
Affiliations

The right colic artery: An anatomical demonstration and its relevance in the laparoscopic era

M Haywood et al. Ann R Coll Surg Engl. 2016 Nov.

Abstract

INTRODUCTION Hemicolectomies are not tailored in right-sided colon cancer resections, despite significant variation in the incidence and origin of the right colic artery (RCA). Early evidence suggests that removal of the relevant lymphovascular package and associated cancer as part of complete mesocolic excision (CME), rather than the entire right colon, may produce better outcomes. Advancing laparoscopic techniques are making this possible, and so it is increasingly important to more precisely define the anatomy of the RCA. METHODS To demonstrate the incidence and variation of the RCA, 25 formalin embalmed cadavers were dissected. Consent to dissection and photography was obtained under Human Tissue Act regulations. RESULTS Eleven female and 14 male cadavers (mean age 79.7 years, range 41-95 years) were included. The RCA originated from the right branch of the middle colic artery in nine cadavers (36%), while it arose from the superior mesenteric artery in eight cases (32%) and from the ileocolic or root of the middle colic artery in a smaller number of specimens. The RCA was absent in two individuals. CONCLUSIONS The RCA arises from the right branch of the middle colic artery in a considerable number of cases. The literature to date does not reflect the precision of anatomical understanding required for CME; hence, a new definition for the right colic vessel is proposed.

Keywords: Ascending colon; Cadaver; Colectomy; Colic; Superior mesenteric artery.

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Figures

Figure 1
Figure 1
Right colic originating from the right branch of the middle colic artery
Figure 2
Figure 2
Right colic artery originating directly from the superior mesenteric artery
Figure 3
Figure 3
Right colic artery originating from the root of the middle colic artery
Figure 4
Figure 4
Absent right colic vessel
See this image and copyright information in PMC

References

    1. Quain R. The Anatomy of the Arteries of the Human Body: and its application to pathology and operative surgery, with a series of lithographic drawings London: Taylor & Walton, 1844. - PubMed
    1. Jamieson JK, Dobson JF VII. Lymphatics of the Colon: With Special Reference to the Operative Treatment of Cancer of the Colon. Ann Surg 1909; : 1,077–1,090. - PMC - PubMed
    1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1991; : 144–150. - PubMed
    1. Kim IY, Kim BR, Choi EH et al. . Short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision and central ligation. Int J Surg 2016; : 151–157. - PubMed
    1. Emmanuel A, Haji A. Complete mesocolic excision and extended (D3) lymphadenectomy for colonic cancer: is it worth that extra effort? A review of the literature. Int J Colorectal Dis 2016; : 797–804. - PubMed

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