{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:52Z","timestamp":1787013892000,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,4,28]],"date-time":"2016-04-28T00:00:00Z","timestamp":1461801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We evaluated 3\u2010D CT imaging for preoperative classification of the left gastric artery and vein in patients with early gastric cancer and estimated its clinical benefit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between April 2009 and March 2014, 279 patients underwent preoperative 3\u2010D CT using a 64\u2010row multi\u2010detector CT scanner, followed by laparoscopy\u2010assisted distal gastrectomy. The 3\u2010D CT images of the arterial and portal phases were reconstructed and fused. The operative outcomes were compared between patients who had not undergone 3\u2010D CT (2007\u20132008) and who had undergone 3\u2010D CT (2009\u20132011).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      According to Adachi's classification, the numbers of type I, II, III, IV, V, and VI arterial patterns were 253, 15, 1, 3, 3, and 1, respectively. Three cases could not be classified. According to the Douglass classification, the left gastric vein flowed into the portal vein, splenic vein, junction of the portal vein and splenic vein, and left branch of the portal vein in 119, 111, 36, and 5 patients, respectively. The left gastric vein could not be visualized in six patients, and two patients could not be classified. In addition, the relation was absent for an Adachi type I vein and one of the \u201cother\u201d types of veins. The total operative time was significantly shorter with 3\u2010D CT than without it (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01), and the degree of lymph\u2010node dissection was significantly higher (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01). Inflammatory parameters and operative morbidity tended to decrease with 3\u2010D CT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Three\u2010dimensional CT is a useful modality to visualize the vessel anatomy around the stomach, and it improves clinical effectiveness and reduces the invasiveness of surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.12280","type":"journal-article","created":{"date-parts":[[2016,4,28]],"date-time":"2016-04-28T05:23:58Z","timestamp":1461821038000},"page":"179-185","source":"Crossref","is-referenced-by-count":16,"title":["Three\u2010dimensional CT for preoperative detection of the left gastric artery and left gastric vein in laparoscopy\u2010assisted distal gastrectomy"],"prefix":"10.1111","volume":"9","author":[{"given":"Yasuhiro","family":"Yuasa","sequence":"first","affiliation":[{"name":"Department 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