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Guiding values of multislice spiral computed tomography angiography in laparoscopic D2 radical gastrectomy of local advanced gastric carcinoma


1 Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052; Department of Imaging, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, Henan, China
2 Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
3 Department of Imaging, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, Henan, China

Correspondence Address:
Jianbo Gao,
Department of Radiology, The First Affiliated Hospital of Zhengzhou University, No. 1, East Jianshe Road, Zhengzhou 450052, Henan
China
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Source of Support: None, Conflict of Interest: None

Objective:This study aims to investigate the application values of preoperative multislice spiral computed tomography angiography (MSCTA) in laparoscopic radical resection of gastric carcinoma (GC). Materials and Methods: A total of 108 GC patients were divided into Groups I (i.e., where preoperative MSCTA was performed; n = 60) and II (i.e., where preoperative MSCTA was not performed; n = 48). Surgery was performed by the same group of surgeons. Results: Seven cases of blood vascular variation were detected in Group I during surgery, whereas four cases were detected in Group II. The operation time for Group I ([207 ± 24] min) was shorter than that for Group II ([260 ± 31] min) (95% confidence interval [95% CI]: −21.543–−0.920, P = 0.044). The operation time of patients with gastric vascular anatomic variation in Group I ([189 ± 49] min) was shorter than that of patients in Group II ([257 ± 61] min) (95% CI: −99.68–−3.201, P = 0.048). The differences in the number of lymph node dissection, average blood loss, eating time, complication rate, and postoperative hospital stay between the two groups was not statistically significant (P > 0.05). Conclusions: MSCTA before endoscopic radical resection exhibits guiding values in assessing blood vascular variations and shortening operation times.


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    -  Chen W
    -  Gao J
    -  Chen D
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