ABSTRACT
Objective: Due to its various anatomical variations and numerous branches, the gastrocolic vein trunk (Henle trunk) is the most common site to develop bleeding and other complications in laparoscopic right hemicolectomy for colon cancer. This study aims to investigate the role of ileocolic vein (ICV) joining with Henle trunk, a rare anatomical variation. Methods: A rare case whose ICV was newly found to involve in the formation of Henle trunk during laparoscopic resection of right hemicolon cancer was reported as right gastroepiploic vein+ right colic vein+superior right colic vein+ICV. This anatomical variation was confirmed by multi-slice spiral CT coronal two-dimensional reconstruction of right hemicolon angiography. The literatures about ICV participating in formation of Henle trunk were systematically searched from PubMed, The Cochran Library, CNKI net and Wanfang database, and the occurrence probability and composition of its anatomical variation were analyzed. Results: This was a 47-year-old female patient who underwent laparoscopic right hemicolectomy. When the vessels were dissected during operation, it was found that ICV did not accompany the ileocolic artery, but directly flowed into Henle trunk. Two-dimensional reconstructed CT images of right hemicolon vessels showed that the composition of Henle trunk was rarely varied, which was composed of right gastroepiploic vein, right colonic vein, superior right colonic vein and ICV. Five literatures were enrolled from literature retrieval. A total of 12 cases with ICV participating in the construction of Henle trunk were reported, with a probability of 0.27%-6.31% and 6 forms of the formation of Henle trunk. In this case, Henle trunk was made up of right gastroepiploic vein, right colonic vein, upper right colonic vein and ICV, which was reported for the first time. Conclusions: ICV involving in Henle trunk is a rare vascular variation, and this type of variation should be fully recognized. Careful dissection during operation is necessary to prevent intraoperative bleeding caused by improper operation.
Subject(s)
Female , Humans , Middle Aged , Anatomic Variation , Colectomy , Colonic Neoplasms/surgery , Laparoscopy , Mesenteric VeinsABSTRACT
By using litter-bag method, the root decomposition characteristics of Castanopsis carlesii stand in Jian'ou Wanmulin Natural Reserve of Fujian Province were studied over two years. Three classes of roots, i.e., 0-1 mm, 1-2 mm, and 2-4 mm in diameter, were tested. During the 2-year period of decomposition, all classes roots showed a bi-phase pattern, being decomposed faster in prophase and slower in anaphase. The leaching loss of extractable substances in roots made root decomposition faster in prophase, while the increase of the acid-insoluble substances concentration in roots restrained the decomposition in anaphase. In the first year, the decomposition rate of all classes roots was controlled by the initial concentrations of their extractive substances and N; while in the second year, the decomposition rate was controlled by the initial C/N and the initial concentrations of acid-insoluble substances, N and P of the roots. During decomposition, all classes roots showed an increasing N concentration and a decreasing P concentration, and the N showed an enrichment-release pattern, while the P showed a direct release pattern.
