{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:20:42Z","timestamp":1778923242866,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,22]],"date-time":"2016-12-22T00:00:00Z","timestamp":1482364800000},"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":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>CT angiography has gained widespread acceptance for preoperative evaluation of blood supply in patients with colorectal cancer. However, there have been few reports that pertain to the splenic flexure, for which surgery is technically difficult. We used preoperative CT angiography and CT colonography to evaluate blood supply to the splenic flexure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We defined the splenic flexure as the junction of the distal third of the transverse colon and the proximal third of the descending colon. We reviewed 191 cases and considered the descending colon as divided into the proximal third and the distal two\u2010thirds; we then determined which part of the descending colon the left colic artery (LCA) entered. We also considered the transverse colon as divided into the proximal two\u2010thirds and the distal third, and evaluated which part of the transverse colon the left branch of the middle colic artery entered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>We classified blood supply to the splenic flexure into six types, described by the feeder vessels: type 1, the LCA (39.7%); type 2, the left branch of the middle colic artery (17.8%); type 3, the LCA and the left branch of the middle colic artery (9.9%); type 4, the accessory left colic artery (4.1%); type 5, the LCA and the accessory left colic artery (2.6%); and type 6, the marginal artery (25.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We classified blood supply to the splenic flexure into more complex types than previous reports had. Because we dissect the lymph nodes according to the type of blood supply, knowing the type before splenic flexure surgery is crucial.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12349","type":"journal-article","created":{"date-parts":[[2016,12,24]],"date-time":"2016-12-24T15:15:54Z","timestamp":1482592554000},"page":"148-153","source":"Crossref","is-referenced-by-count":58,"title":["Evaluating distribution of the left branch of the middle colic artery and the left colic artery by CT angiography and colonography to classify blood supply to the splenic flexure"],"prefix":"10.1111","volume":"10","author":[{"given":"Asako","family":"Fukuoka","sequence":"first","affiliation":[{"name":"Department of Gastroenterological and General Surgery St. Marianna University School of Medicine  Kawasaki Japan"},{"name":"Department of Gastroenterological Surgery St. Marianna University Toyoko Hospital  Kawasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery St. Marianna University Toyoko Hospital  Kawasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Tsukikawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and General Surgery St. Marianna University School of Medicine  Kawasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyoshi","family":"Miyajima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and General Surgery St. Marianna University School of Medicine  Kawasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehito","family":"Ostubo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery St. Marianna University Toyoko Hospital  Kawasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2710-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.134256"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000285"},{"key":"e_1_2_6_5_1","first-page":"81","article-title":"The bifurcation pattern of the inferior mesenteric artery using CT angiography","volume":"4","author":"Hoshino H","year":"2013","journal-title":"J St Marianna Univ"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31828f66fb"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3862\/jcoloproctology.67.68"},{"key":"e_1_2_6_8_1","first-page":"7","volume-title":"Japanese Classification of Colorectal Carcinoma","author":"Japanese Society for Cancer of the Colon and Rectum","year":"2013"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555427"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2007.03.002"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70413-8"},{"key":"e_1_2_6_12_1","first-page":"241","article-title":"Surgical anatomy of the blood supply of the distal colon","volume":"51","author":"Griffith JD","year":"1956","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1933.01170050113008"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.3862\/jcoloproctology.43.277"},{"key":"e_1_2_6_15_1","first-page":"157","article-title":"Variational anatomy of the middle colic artery; its significance in gastric and colonic surgery","volume":"10","author":"Robillard GL","year":"1947","journal-title":"J Int Coll Surg"},{"key":"e_1_2_6_16_1","first-page":"54","volume-title":"Jpn J Cancer Chemother","author":"Lippert H","year":"1988"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000145493"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.980080408"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000146827"},{"key":"e_1_2_6_20_1","first-page":"1691","article-title":"Fukuchu Keccho Domyaku Shui RinpasetsuKakusei wo Yosuru Hiwannkyokubu Oko Kecchogan ni taisuru Fukukukyoka Shujutsu [Laparoscopic surgery for colon cancer of the splenic flexure which needs the dissection around the accessory middle colic artery.]","volume":"63","author":"Saito S","year":"2009","journal-title":"Operation"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730829"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005350070076"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-012-0359-6"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2015.05.002"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1159\/000128172"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.5833\/jjgs.25.2347"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fases.12349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fases.12349","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.12349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T05:50:24Z","timestamp":1694497824000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.12349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,22]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/ases.12349"],"URL":"https:\/\/doi.org\/10.1111\/ases.12349","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,22]]}}}