Location of the transverse colon in relationship to the umbilicus: implications for laparoscopic techniques.


Journal Article

STUDY OBJECTIVE: To establish the location of the transverse colon in relationship to the umbilicus, and determine if it varies as a function of patient height or weight. DESIGN: Retrospective review of computed tomograms (CT) of the abdomen (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Sixty-seven women with normal abdominal anatomy. INTERVENTION: Review of abdominal CT scans. MEASUREMENTS AND MAIN RESULTS: The relative relationships of the transverse colon and umbilicus were compared with age, height, weight, and body mass index (BMI = kg/m2) using multiple regression analysis. Average location of the superior margin of the transverse colon was 4.6 cm (95% CI 3.5-5.7 cm) above the umbilicus. In nine (13%) women it was below the umbilicus. The colon was below the umbilicus in 25% of nonobese women (BMI <25 kg/m2). CONCLUSION: Because the transverse colon lies below the umbilicus in more than 10% of women, injury to it may be an uncommon yet unavoidable complication of laparoscopy.

Full Text

Duke Authors

Cited Authors

  • Chee, SS; Godfrey, CD; Hurteau, JA; Schilder, JM; Rothenberg, JM; Hurd, WW

Published Date

  • November 1998

Published In

Volume / Issue

  • 5 / 4

Start / End Page

  • 385 - 388

PubMed ID

  • 9782143

Pubmed Central ID

  • 9782143

International Standard Serial Number (ISSN)

  • 1074-3804


  • eng

Conference Location

  • United States