Perez Manuela, Haumont Thierry, Arnoux Jean Michel, Redjaimia Imen, Rouard Nathalie, Blum Alain, Reibel Nicolas, Jay Nicolas, Braun Marc, Grosdidier Gilles
Department of Anatomy, Faculty of Medicine, University of Nancy, Allée du Morvan, Vandoeuvre les Nancy, Nancy, France.
Surg Radiol Anat. 2010 Jan;32(1):63-8. doi: 10.1007/s00276-009-0550-7.
Colon interposition is the method of choice to restore the digestive tract after esogastrectomy. The aim of this study was to compare the length of the four available routes for colon transposition (posterior mediastinum route, transpleural route, substernal route and subcutaneous route) and to achieve a specific evaluation of the transpleural route. Our study was conducted with anatomical (dissection) and radiological (2D CT scan reconstructions) protocols. For both, the posterior mediastinum route was always the shortest way and the subcutaneous route was always the longest. For the anatomical results, the transpleural route and the substernal route were similar in terms of length and for the radiological study, the transpleural route was shorter than the substernal route (P < 0.001) and shorter than the subcutaneous route (P < 0.001). We demonstrated that the transpleural route was acceptable for colon transposition in term of length, and could be an alternative when the substernal route is unavailable.
结肠间置术是食管胃切除术后重建消化道的首选方法。本研究的目的是比较结肠转位的四种可用路径（后纵隔路径、经胸膜路径、胸骨后路径和皮下路径）的长度，并对经胸膜路径进行具体评估。我们的研究采用了解剖学（解剖）和放射学（二维CT扫描重建）方案。对于这两种方案，后纵隔路径始终是最短的，皮下路径始终是最长的。在解剖学结果方面，经胸膜路径和胸骨后路径在长度上相似；在放射学研究中，经胸膜路径比胸骨后路径短（P < 0.001），且比皮下路径短（P < 0.001）。我们证明，就长度而言，经胸膜路径对于结肠转位是可接受的，并且在胸骨后路径不可用时可以作为一种替代方案。
