title: Colectomy in patients with previous colectomy or occlusive vascular diseases: Pitfalls and precautions.
abstract: Two principal branches from the aorta provide the colonic blood supply: the superior and inferior mesenteric arteries. There are numerous anatomical variations, which the surgeon must fully understand before embarking on any colonic surgery. A good knowledge of these variations is particularly important when the patient has already undergone colectomy or presents with occlusive vascular disease. The aim of this review is to summarize the standard anatomy and the main variations of the colonic blood supply as they apply to colorectal surgery in this setting.
authors.affiliation: Service de chirurgie digestive, centre hospitalier universitaire Amiens-Picardie, avenue René-Laënnec-Salouël, 80054 Amiens cedex 1, France; Université de Picardie-Jules-Verne, 80000 Amiens, France.
authors.forename: F
authors.initials: F
authors.lastname: Prevot
authors.affiliation: Service de chirurgie digestive, centre hospitalier universitaire Amiens-Picardie, avenue René-Laënnec-Salouël, 80054 Amiens cedex 1, France; Université de Picardie-Jules-Verne, 80000 Amiens, France.
authors.forename: C
authors.initials: C
authors.lastname: Sabbagh
authors.affiliation: Service de chirurgie viscérale et digestive, centre hospitalier de Beauvais, avenue Léon-Blum, BP 40319, 60021 Beauvais cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Mauvais
authors.affiliation: Service de chirurgie digestive, centre hospitalier universitaire Amiens-Picardie, avenue René-Laënnec-Salouël, 80054 Amiens cedex 1, France; Unité Inserm EA4294, université de Picardie-Jules-Verne, 80000 Amiens, France; Centre de recherche clinique, centre hospitalier universitaire Amiens-Picardie, avenue René-Laënnec-Salouël, 80054 Amiens cedex 1, France; Université de Picardie-Jules-Verne, 80000 Amiens, France. Electronic address: regimbeau.jean-marc@chu-amiens.fr.
authors.forename: J-M
authors.initials: JM
authors.lastname: Regimbeau
mesh_terms: D000368:Aged; D050197:Atherosclerosis / Q000150:complications*; D003082:Colectomy / Q000379:methods*; D003106:Colon / Q000098:blood supply / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000033:anatomy & histology / Q000601:surgery*; D017538:Mesenteric Artery, Superior / Q000033:anatomy & histology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000150:complications*; D008875:Middle Aged; D012086:Reoperation
keywords: Atherosclerosis; Colectomy; Colonic blood supply; Mesenteric arteries; Mesenteric stenosis