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

Publication ,  Journal Article
Chee, SS; Godfrey, CD; Hurteau, JA; Schilder, JM; Rothenberg, JM; Hurd, WW
Published in: J Am Assoc Gynecol Laparosc
November 1998

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.

Duke Scholars

Published In

J Am Assoc Gynecol Laparosc

DOI

ISSN

1074-3804

Publication Date

November 1998

Volume

5

Issue

4

Start / End Page

385 / 388

Location

United States

Related Subject Headings

  • Umbilicus
  • Ultrasonography
  • Tomography, X-Ray Computed
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Laparoscopy
  • Humans
  • Female
  • Colon
  • 3215 Reproductive medicine
 

Citation

APA
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ICMJE
MLA
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Chee, S. S., Godfrey, C. D., Hurteau, J. A., Schilder, J. M., Rothenberg, J. M., & Hurd, W. W. (1998). Location of the transverse colon in relationship to the umbilicus: implications for laparoscopic techniques. J Am Assoc Gynecol Laparosc, 5(4), 385–388. https://doi.org/10.1016/s1074-3804(98)80052-2
Chee, S. S., C. D. Godfrey, J. A. Hurteau, J. M. Schilder, J. M. Rothenberg, and W. W. Hurd. “Location of the transverse colon in relationship to the umbilicus: implications for laparoscopic techniques.J Am Assoc Gynecol Laparosc 5, no. 4 (November 1998): 385–88. https://doi.org/10.1016/s1074-3804(98)80052-2.
Chee SS, Godfrey CD, Hurteau JA, Schilder JM, Rothenberg JM, Hurd WW. Location of the transverse colon in relationship to the umbilicus: implications for laparoscopic techniques. J Am Assoc Gynecol Laparosc. 1998 Nov;5(4):385–8.
Chee, S. S., et al. “Location of the transverse colon in relationship to the umbilicus: implications for laparoscopic techniques.J Am Assoc Gynecol Laparosc, vol. 5, no. 4, Nov. 1998, pp. 385–88. Pubmed, doi:10.1016/s1074-3804(98)80052-2.
Chee SS, Godfrey CD, Hurteau JA, Schilder JM, Rothenberg JM, Hurd WW. Location of the transverse colon in relationship to the umbilicus: implications for laparoscopic techniques. J Am Assoc Gynecol Laparosc. 1998 Nov;5(4):385–388.

Published In

J Am Assoc Gynecol Laparosc

DOI

ISSN

1074-3804

Publication Date

November 1998

Volume

5

Issue

4

Start / End Page

385 / 388

Location

United States

Related Subject Headings

  • Umbilicus
  • Ultrasonography
  • Tomography, X-Ray Computed
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Laparoscopy
  • Humans
  • Female
  • Colon
  • 3215 Reproductive medicine