{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:28:08Z","timestamp":1792193288922,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T00:00:00Z","timestamp":1438992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Awareness of anatomy is critical for performing safe surgery within the root of the mesentery. Our aim was to investigate the anatomical relationship between the superior mesenteric artery (<jats:styled-content style=\"fixed-case\">SMA<\/jats:styled-content>) and vein (<jats:styled-content style=\"fixed-case\">SMV<\/jats:styled-content>) and their branches within a predefined D3 area of the right colon and to compare preoperatively established three\u2010dimensional (3D) mesenteric vessel anatomy from <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> with that found at surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Prospective data were collected on 139 patients included in the \u2018Safe Radical D3 Right Hemicolectomy for Cancer Through Preoperative Biphasic Multi\u2010detector Computed Tomography (<jats:styled-content style=\"fixed-case\">MDCT<\/jats:styled-content>) Angiography\u2019 trial. <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> data sets were 3D reconstructed before surgery and compared with photographs taken during the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ileocolic artery was present and correctly identified in all patients and crossed the <jats:styled-content style=\"fixed-case\">SMV<\/jats:styled-content> anteriorly in 58 (41.7%). Seventeen patients had a right colic artery at surgery and there were three false\u2010negative and one false\u2010positive <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> findings, yielding a diagnostic accuracy of 97.1%, sensitivity of 85.7% and specificity of 95.2%. Positive and negative predictive values were 94.7% and 97.5%, respectively. The middle colic artery was absent in one (0.7%) patient and multiple (nine double and one triple) in 10 (7.2%) patients. A mean of 3.8\u00a0\u00b1\u00a01.2 jejunal arteries and 2.0\u00a0\u00b1\u00a00.8 jejunal veins arose from the <jats:styled-content style=\"fixed-case\">SMA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SMV<\/jats:styled-content>. Jejunal veins crossed the <jats:styled-content style=\"fixed-case\">SMA<\/jats:styled-content> in the D3 area anteriorly in 30.9% of patients. In 26 (18.7%) patients, additional veins drained into the <jats:styled-content style=\"fixed-case\">SMV<\/jats:styled-content>, including pancreaticoduodenal in 16, right colic in six and both in two. The inferior mesenteric vein entered the <jats:styled-content style=\"fixed-case\">SMV<\/jats:styled-content> in 58 (41.7%) patients and crossed the D3 area in three (2.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\u2010reconstructed anatomy has high specificity, sensitivity, accuracy and reliability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13003","type":"journal-article","created":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T03:01:14Z","timestamp":1432004474000},"page":"810-818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":119,"title":["Navigating the mesentery: a comparative pre\u2010 and per\u2010operative visualization of the vascular anatomy"],"prefix":"10.1111","volume":"17","author":[{"given":"J. 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