Surgical anatomy of sigmoid arteries: A systematic review and meta-analysis

Cirocchi, Roberto; Randolph, Justus; Cheruiyot, Isaac; Davies, R. Justin; Wheeler, James M.; Gioia, Sara; Reznitskii, Pavel; Lancia, Massimo; Carlini, Luigi; Fedeli, Piergiorgio; Saverio, Salomone Di; Henry, Brandon Michael

doi:10.1016/j.surge.2020.11.012

Cited by 7 publications

(6 citation statements)

References 33 publications

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“…To explore the value of emergency nursing mode in the rescue of traumatic shock patients, 76 patients with traumatic shock were selected for group study [ 22 ]. The results showed that the time of rescue and hospitalization of the patients in the observation group was significantly shorter than that of the control group, which was consistent with the reports of Yangzhihua and others.…”

Section: Discussionmentioning

confidence: 99%

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

Jin-mei

Zhou

Wang

et al. 2022

Journal of Healthcare Engineering

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Objective. To study the value of emergency nursing mode in patients with traumatic shock. Methods. 76 patients with traumatic shock in our hospital from March 2019 to February 2021 were selected and divided into study group and control group according to different rescue modes, 38 cases in each group. The study group adopted emergency nursing mode for rescue, while the control group adopted routine nursing mode for rescue. The rescue intervention, emergency stay and preoperative preparation time, rescue success rate, emergency rescue effect, complications, and satisfaction rate of patients and their families for rescue were compared between the two groups. Results. The rescue intervention, emergency stay and preoperative preparation time of the study group were significantly shorter than those of the control group, and the difference was statistically significant ( P < 0.05 ). The rescue success rate of the study group was 97.37%, which was significantly higher than 84.21% of the control group, and the difference was statistically significant ( P < 0.05 ). The improvement rate of the study group was significantly higher than that of the control group, the disability rate was significantly lower than that of the control group, the overall emergency rescue effect was better than that of the control group, and the difference was statistically significant ( P < 0.05 ). The incidence of complications in the study group was 2.63%, which was significantly lower than 23.68% in the control group ( P < 0.05 ). The satisfaction rate of patients and their families in the study group was 97.37%, which was significantly higher than 84.21% in the control group ( P < 0.05 ). Conclusion. Emergency nursing mode in patients with traumatic shock owns higher rescue value, can buy time for the operation, improve the success rate and effect of rescue, make safety and satisfaction higher. Overall, for patients with traumatic shock, emergency nursing mode is better than conventional rescue nursing.

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Section: Discussionmentioning

confidence: 99%

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

Jin-mei

Zhou

Wang

et al. 2022

Journal of Healthcare Engineering

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“…The debate about the level of vascular ligation during elective sigmoidectomy for diverticular disease has changed over the past few years [2,3]. The initial position was to apply the surgical steps usually performed in sigmoidectomy for malignant disease, due to the risk of a misdiagnosed colonic cancer [22].…”

Section: Discussionmentioning

confidence: 99%

“…There is a general agreement that the sigmoid colon must be completely removed as it is the most common location of diverticulosis and diverticulitis in the Western world. Although sigmoidectomy is a well-standardized procedure, some technical variations exist according to the different morphologies and the vascularization of the sigmoid colon as follows: length of S-shaped loop between 11.9 and 91.1 cm, width of the sigmoid mesocolon between 4 and 11.5 cm [1], a highly variable pattern of sigmoid arteries-mainly divided into a common origin type-a separated origin or common trunk of the sigmoid arteries from the descending recto-sigmoid trunk [2] and the absence of the left colic artery [3].…”

Section: Introductionmentioning

confidence: 99%

The Dilemma of the Level of the Inferior Mesenteric Artery Ligation in the Treatment of Diverticular Disease: A Systematic Review of the Literature

Cirocchi

Mari

Amato

et al. 2022

JCM

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Background and aim: Although sigmoidectomy is a well-standardized procedure for diverticular disease, there are still unclear areas related to the varying morphology and vascular supply of the sigmoid colon. The level of vascular ligation could affect the functional outcomes of patients operated on for diverticular disease. The aim of this review is to primarily evaluate sexual, urinary and defecatory function outcomes, as well as postoperative results, in patients who underwent surgery for diverticular disease, with or without inferior mesenteric artery (IMA) preservation. Materials and methods: The MEDLINE/PubMed, WOS and Scopus databases were interrogated. Comparative studies including patients who underwent sigmoidectomy for diverticular diseases were considered. Bowel function, genitourinary function, anastomotic leak, operation time, conversion to open surgery, anastomotic bleeding, bowel obstruction were the main items of interest. Results: Twelve studies were included in the review, three randomized and nine comparative studies. Bowel and genitourinary function are not differently affected by the level of vascular ligation. The site of ligation of IMA did not influence the rate of functional complications, anastomotic leak and bleeding. Of note, the preservation of IMA is associated with a higher conversion rate and longer operative time. Conclusions: Despite the heterogeneity of patient groups, and although the findings should be interpreted with caution, functional and clinical outcomes after sigmoidectomy for diverticular disease do not seem to be affected by the level of vascular ligation as long as the IMA is ligated far from its origin.

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“…Se ubican en el espacio mesentérico cólico izquierdo y discurren en el espesor del mesocolon sigmoideo (MS) (Testut & Latarjet, 1984). Corresponden en número de dos a cinco arterias, siendo por lo general tres, lo cual varía dependiendo de la longitud de este segmento intestinal (Testut & Latarjet, 1984;Cirocchi et al, 2021). Se originan de la cara anterior de la AMI por medio de un tronco común, el tronco de las sigmoideas [arteria cólica izquierda inferior] (TS), que luego de un trayecto descendente se divide en las AS superior, media e inferior.…”

Section: Introductionunclassified

“…Con el avance de la cirugía colorrectal mínimamente invasiva, es primordial el conocimiento preciso de la irrigación del CS y sus relaciones para el adecuado tratamiento y disminuir las complicaciones (Miyamoto et al, 2016;Yasuda et al, 2016;Wang et al, 2018;McSweeney et al, 2020;Cirocchi et al, 2021;Zebrowski et al, 1971).…”

Section: Introductionunclassified

Arterias Sigmoideas: Bases para una Nueva Clasificación

d’Annibale,

Martinez-Hinojosa,

Marchesani

et al. 2023

Int. J. Morphol.

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RESUMEN:Las arterias sigmoideas son ramas de la arteria mesentérica inferior e irrigan al colon sigmoideo. Se originan del tronco de las arterias sigmoideas. Esta es la descripción más frecuente según los autores consultados. El objetivo fue analizar las variaciones en el origen y distribución de las arterias sigmoideas mediante disección. Se utilizaron 13 preparados cadavéricos formolizados al 10 %. Se disecó la cavidad abdominal para identificar a las arterias sigmoideas. Se evidenció su bifurcación paralela al colon sigmoideo. Se lo delimitó mediante reparos palpables. Patrón I: 4 casos (30,8 %). Variante de la arcada sigmoidea como rama colateral de la arteria mesentérica inferior. Tipo Ia: 1 caso (25 %). Sin asociaciones. Tipo Ib: 1 caso (25 %). Asociada al tronco sigmoideo. Tipo Ic: 2 casos (50 %). Asociada a arterias sigmoideas accesorias. Patrón II: 6 casos (46,2 %). Variante del tronco común entre arteria cólica izquierda y arterias destinadas al colon sigmoideo. Tipo IIa: 3 casos (50 %). Sin asociaciones. Tipo IIb: 2 casos (33,3 %). Asociado al tronco sigmoideo. Tipo IIc: 1 caso (16,7 %). Asociado a arterias sigmoideas accesorias. Patrón III: 3 casos (23 %). Variante clásica. Se definió por la ausencia del tronco común con la arteria cólica izquierda y de la arcada sigmoidea. Tipo IIIa: 2 casos (66,7 %). Un número variable de arterias sigmoideas nacen como ramas colaterales de la arteria mesentérica inferior, sin asociarse al tronco sigmoideo. Tipo IIIb: 1 caso (33,3 %). La arteria cólica izquierda emite como rama colateral la primera arteria sigmoidea y se asocia al tronco sigmoideo. 1. El patrón II es el prevalente en este trabajo (46,2 %). 2. La variante clásica no es la predominante en esta investigación (23 %). 3. La arcada sigmoidea tiene 53,8 % de incidencia.

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Surgical anatomy of sigmoid arteries: A systematic review and meta-analysis

Cited by 7 publications

References 33 publications

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

The Dilemma of the Level of the Inferior Mesenteric Artery Ligation in the Treatment of Diverticular Disease: A Systematic Review of the Literature

Arterias Sigmoideas: Bases para una Nueva Clasificación

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