Retrospective Cohort Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Mar 15, 2019; 11(3): 208-226
Published online Mar 15, 2019. doi: 10.4251/wjgo.v11.i3.208
Post-operative computed tomography scan – reliable tool for quality assessment of complete mesocolic excision
Cristian Livadaru, Stefan Morarasu, Tudor Cristian Frunza, Florina A Ghitun, Elena Florina Paiu-Spiridon, Florina Sava, Cristina Terinte, Dan Ferariu, Sorinel Lunca, Gabriel Mihail Dimofte
Cristian Livadaru, Florina A Ghitun, ”Grigore T Popa” University of Medicine and Pharmacy, Iasi 700115, Romania
Stefan Morarasu, Tudor Cristian Frunza, Sorinel Lunca, Gabriel Mihail Dimofte, 2nd Clinic of Surgical Oncology, Regional Oncology Institute, “Grigore T Popa” University of Medicine and Pharmacy, Iasi 700115, Romania
Elena Florina Paiu-Spiridon, Florina Sava, Department of Radiology, Regional Oncology Institute, “Grigore T Popa” University of Medicine and Pharmacy, Iasi 700115, Romania
Cristina Terinte, Dan Ferariu, Department of Pathology, Regional Oncology Institute, “Grigore T Popa” University of Medicine and Pharmacy, Iasi 700115, Romania
Author contributions: Dimofte GM and Livadaru C conceived the original idea, elaborated the study design and generated the manuscript up to its final form; Livadaru C, Ghitun FA, Morarasu S, Frunza TC, Paiu-Spiridon EF, Sava F, Terinte C, Ferariu D and Lunca S, each provided significant input in documentation, bibliography research, acquisition of data and statistical analysis; Livadaru C, Paiu-Spiridon EF and Sava F performed the radiological measurements and data interpretation; Dimofte GM, Morarasu S, Frunza TC and Lunca S performed the surgeries; Terinte C and Ferariu F performed the pathological examination; Livadaru C and Ghitun FA wrote the initial manuscript, with Morarasu S, Frunza TC, Paiu-Spiridon EF, Sava F, Terinte C, Ferariu D, Lunca S and Dimofte GM providing essential intellectual content and thorough comments; Livadaru C, Morarasu S, Frunza TC, Ghitun FA, Paiu-Spiridon EF, Sava F, Terinte C, Ferariu D, Lunca S and Dimofte GM provided the final critical review and approval of the manuscript.
Institutional review board statement: The Regional Oncology Institute’s Institutional Review Board approved this study (No. 16321/20.08.2018).
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Stefan Morarasu, MD, Surgeon, 2nd Clinic of Surgical Oncology, Regional Oncology Institute, “Grigore T Popa” University of Medicine and Pharmacy, 2-4 General Henri Mathias Berthelot St., Iasi 700115, Romania. stefan.morarasu@hse.ie
Telephone: +35-385-8760635
Received: October 2, 2018
Peer-review started: October 2, 2018
First decision: November 15, 2018
Revised: December 6, 2018
Accepted: January 9, 2019
Article in press: January 10, 2019
Published online: March 15, 2019
Core Tip

Core tip: This is the first study to assess arterial stump measurement as a tool for comparative analysis between complete mesocolic excision and non-standardized colonic surgery. We demonstrated its benefit as a tool for evaluating surgical quality, mainly due to its correlation with a major prognostic factor. It is a simple and reproducible measurement on routine computed tomography scans without metallic markers. We showed that the central vascular ligation can be performed without extensive D3 lymphatic dissection.