OBJECTIVE

To study the right-handed colon regional anatomy on cadaveric material and make clear it dependence with growth.

MATERIAL AND METHODS

Anthropometric measurements were carried out on 36 cadavers male and female aged 51 to 98 y.o. (at first 24 hours after death). Death was not due to damage to the musculoskeletal system. The following parameters were evaluated: body length, distantia spinarum, distantia bicostarum, distance between distantia bicostarum and distantia spinarum; the level of the lower border of the cecum relative to distantia spinarum and the upper border of the hepatic bend of the colon relative to distantia bicostarum, the length of the cecum and ascending colon, transverse colon. The biologic material was divided into 3 groups depending on height: the first group less than 165 cm, the second — 166—170 cm, the third — more than 170 cm.

RESULTS

In cadavers in first group the dome of the cecum is located lower relative to the distancia spinarum than in 2 and 3 groups. There were no statistical differences between the groups in the following parameters: distancia spinarum, distancia bicostarum, lengths of the cecum and ascending colon, transverse colon. A strong correlation was founded the greater the distance between distancia spinarum and distancia bicostarum, the higher the dome of the cecum relative to distancia spinarum (r=0.79, 95% CI is 0.63—0.89).

CONCLUSION

In cadavers with a height less than 165 cm, the dome of the cecum is located lower relative to the distancia spinarum than in cadavers higher than 166 cm. Pronounced lower location of the cecal dome to distancia spinarum in cadavers with a height <165 cm may play important clinical role. To predict the optimal placement of ports during laparoscopic right-sided hemicolectomy, it is necessary to take into account the patient’s height and the distance between distancia spinarum and distancia bicostarum. Further clinical investigation of the anthropometric characteristics of patients is necessary.