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ORIGINAL ARTICLE Preoperative Evaluation of Local Invasion and Metastatic Lymph Nodes of Colorectal Cancer and Mesenteric Vascular Variations Using Multidetector-Row Computed Tomography Before Laparoscopic Surgery Takaaki Kanamoto, MD,* Mitsuru Matsuki, MD,* Junji Okuda, MD,Þ Yuki Inada, MD,* Fuminari Tatsugami, MD,* Masato Tanikake, MD,* Shushi Yoshikawa, RT,* Isamu Narabayashi, MD,* Hiroshi Kawasaki, MD,Þ Keitaro Tanaka, MD,Þ Tetsuhisa Yamamoto, MD,Þ Nobuhiko Tanigawa, MD,Þ Yutaro Egashira, MD,þ and Yuro Shibayama, MDþ curate preoperative staging and evaluation of vascular Objective: To evaluate local invasion and lymph nodes metastasis variations by computed tomography (CT) is required to of colorectal cancer and mesenteric vascular variations using multi- achieve safe and prompt tumor resection, ligation of vessels, detector-row computed tomography (MDCT) before laparoscopic 2Y5 and lymph node dissection. colorectal surgery. In this study, we obtained an abdominal dual-phase Methods: Fifty-one patients with colorectal cancer underwent contrast-enhanced CT examination using MDCT before lapa- MDCT. The evaluation items were as follows: (1) local invasion; (2) roscopic colorectal surgery and evaluated the accuracy of detected lymph nodes evaluated by short-axis diameter, long-axis preoperative staging of colorectal cancer and the visualiza- diameter, short/long axis diameter ratio, and computed tomography tion of mesenteric vascular variations by 3-dimensionalYCT (CT) attenuation; and (3)
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Nov 1, 2007
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