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The aim of this study was to determine the MCA bifurcation position to\nanatomical landmarks and to assess the trajectory of aMCA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The colonic vascular anatomy was manually reconstructed in 3D from\nhigh-resolution CT datasets using Osirix MD and 3-matic Medical and analysed. CT\ndatasets were exported as STL files and supplemented with 3D printed models when\nrequired.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Thirty-two datasets were analysed. The MCA bifurcation was left to the\nsuperior mesenteric vein (SMV) in 4 (12.1%), in front of SMV in 17 (53.1%) and right\nto SMV in 11 (34.4%) models. Median distances from the MCA origin to bifurcation were\n3.21 (1.18\u201315.60) cm. A longer MCA bifurcated over or right to SMV, while a shorter\nbifurcated left to SMV (<jats:italic>r<\/jats:italic>\u2009=\u20090.457, <jats:italic>p<\/jats:italic>\u2009=\u20090.009). The main MCA direction was towards right in\n19 (59.4%) models. When initial directions included left, the bifurcation occurred\nleft to or anterior to SMV in all models. When the initial directions included right,\nthe bifurcation occurred anterior or right to SMV in all models. The aMCA was found\nin 10 (31.3%) models, following the inferior mesenteric vein (IMV) in 5 near the\nlower pancreatic border. The IMV confluence was into SMV in 18 (56.3%), splenic vein\nin 11 (34.4%) and jejunal vein in 3 (9.4%) models.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Awareness of the wide range of MCA bifurcation positions reported is\ncrucial for the quality of lymphadenectomy performed. The aMCA occurs in 31.3% models\nand its trajectory is in proximity to the lower pancreatic border in one half of\nmodels, indicating that it needs to be considered when operating splenic flexure\ncancer.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-020-08242-8","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T14:06:59Z","timestamp":1611583619000},"page":"100-108","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Re-interpreting mesenteric vascular anatomy on 3D virtual and\/or physical models: positioning the middle colic artery bifurcation and its relevance to surgeons operating colon cancer"],"prefix":"10.1007","volume":"36","author":[{"given":"Bjarte T.","family":"Andersen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bojan V.","family":"Stimec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f8rn","family":"Edwin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9960-0820","authenticated-orcid":false,"given":"Airazat M.","family":"Kazaryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Przemyslaw J.","family":"Maziarz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dejan","family":"Ignjatovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"issue":"4","key":"8242_CR1","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1111\/j.1463-1318.2008.01735.x","volume":"11","author":"W Hohenberger","year":"2009","unstructured":"Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009)\nStandardized surgery for colonic cancer: complete mesocolic excision and central\nligation\u2013technical notes and outcome. 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