Randomized clinical trial of defaecatory function after anterior resection for rectal cancer with highversuslow ligation of the inferior mesenteric artery

2015 ◽  
Vol 102 (5) ◽  
pp. 501-508 ◽  
Author(s):  
K. Matsuda ◽  
T. Hotta ◽  
K. Takifuji ◽  
S. Yokoyama ◽  
Y. Oku ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Rectal Cancer ◽  
Randomized Clinical Trial ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery

scholarly journals Randomized clinical trial of high versus low inferior mesenteric artery ligation during anterior resection for rectal cancer

BJS Open ◽  
2018 ◽  
Vol 2 (4) ◽  
pp. 195-202 ◽  
Author(s):  
S. Fujii ◽  
A. Ishibe ◽  
M. Ota ◽  
K. Watanabe ◽  
J. Watanabe ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Rectal Cancer ◽  
Randomized Clinical Trial ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Artery Ligation

Low Ligation of Inferior Mesenteric Artery in Laparoscopic Anterior Resection for Rectal Cancer Reduces Genitourinary Dysfunction

2019 ◽  
Vol 269 (6) ◽  
pp. 1018-1024 ◽  
Author(s):  
Giulio M. Mari ◽  
Jacopo Crippa ◽  
Eugenio Cocozza ◽  
Mattia Berselli ◽  
Lorenzo Livraghi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Laparoscopic Anterior Resection ◽  
Low Ligation

Multicentre randomized clinical trial of colonic J pouch or straight stapled colorectal reconstruction after low anterior resection for rectal cancer

2019 ◽  
Vol 106 (9) ◽  
pp. 1147-1155 ◽  
Author(s):  
S. Pucciarelli ◽  
P. Del Bianco ◽  
U. Pace ◽  
F. Bianco ◽  
A. Restivo ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Rectal Cancer ◽  
Randomized Clinical Trial ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
J Pouch

scholarly journals Short- and long-term outcomes of rectal cancer patients with high or improved low ligation of the inferior mesenteric artery

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Chenghai Zhang ◽  
Lei Chen ◽  
Ming Cui ◽  
Jiadi Xing ◽  
Hong Yang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cancer Patients ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Operation Time ◽  
High Ligation ◽  
Low Ligation ◽  
Laparoscopic Assisted ◽  
Ligation Site

Abstract The ligation site of the inferior mesenteric artery (IMA) during laparoscopic radical resection for rectal cancer has been controversial. Consecutive patients (n = 205) with rectal cancer who underwent laparoscopic-assisted low anterior resection from January 2009 to December 2015 were retrospectively analyzed. The patients were divided into high ligation (n = 126) and improved low ligation groups (n = 79). A total of 205 rectal cancer patients underwent laparoscopic assisted anterior resection: 126 patients in the high ligation group and 79 patients in the improved low ligation group. The improved low ligation group was better than the high ligation group in terms of postoperative flatus time and postoperative defecation time. There were no differences between the groups in terms of blood loss, operation time, total number of lymph nodes, anastomotic leakage, postoperative time to first liquid diet and postoperative hospital stay. There were also no differences in 5-year overall survival (OS). Compared to high ligation, the improved low ligation ensures the extent of lymph node dissection, and promotes the early recovery of postoperative gastrointestinal function, but does not increase the operation time, bleeding risk, or anastomotic leakage. A ligation site of the IMA in laparoscopic rectal cancer surgery may not influence oncological outcomes.

Early results from a randomized clinical trial of colon $\font\ss=cmss10 scaled 1000 \hbox{J}$ pouchversustransverse coloplasty pouch after low anterior resection for rectal cancer

2008 ◽  
Vol 95 (10) ◽  
pp. 1257-1263 ◽  
Author(s):  
A. B. Ulrich ◽  
C. M. Seiler ◽  
K. Z'graggen ◽  
T. Löffler ◽  
J. Weitz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Rectal Cancer ◽  
Randomized Clinical Trial ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Early Results ◽  
Coloplasty Pouch

scholarly journals Laparoscopic low anterior resection for rectal cancer wherein the inferior mesenteric artery arose from the superior mesenteric artery: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takahiro Korai ◽  
Kenji Okita ◽  
Toshihiko Nishidate ◽  
Koichi Okuya ◽  
Emi Akizuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rectal Cancer ◽  
Superior Mesenteric Artery ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Low Anterior Resection ◽  
Inferior Mesenteric Artery ◽  
3D Ct ◽  
Lymphatic Flow ◽  
Enhanced Computed Tomography

Abstract Background Few cases have been reported of colorectal cancer with inferior mesenteric artery (IMA) branching abnormalities; therefore, the lymphatic flow in such cases remains unknown. We report the first case of locally advanced rectal cancer in which the IMA arose from the superior mesenteric artery (SMA) in which we achieved to visualize the lymphatic flow. Case presentation A 65-year-old woman complaining of bloody stools was investigated in our hospital and suspected with rectal cancer. Colonoscopy and abdominal enhanced computed tomography (CT) revealed a circumscribed, localized ulcerative tumor in the rectum. 3-Dimensional contrast-enhanced computed tomography (3D-CT) showed that the IMA arose from the SMA. The patient was diagnosed with rectal cancer (cT3N0M0, cStage IIa) and laparoscopic low anterior resection was performed. The sigmoid colon was resected using the medial approach. Only the plexus of the colic branch of the lumbar splanchnic nerve was observed at the site where the root of the IMA usually exists and showed interruption of the indocyanine green (ICG) fluorescence-illuminated lymphatics. The root of the IMA was ligated, and Japanese D3 lymphadenectomy was performed, preserving the accessory middle colic artery. All fluorescent lymph nodes were resected. The pathological diagnosis was pT4aN1aM0 stage IIIb. The patient’s postoperative course was uneventful. Adjuvant chemotherapy was administered, and the patient was recurrence-free at 1.5 years after surgery. Conclusions We were able to perform safe and appropriate surgery oncologically, despite abnormal vascular anatomy, due to preoperative identification using 3D-CT and intraoperative navigation using ICG administration.

High ligation of the inferior mesenteric artery in anterior resection for rectal cancer—a video vignette

2021 ◽  
Author(s):  
Meng Kong ◽  
Hongyuan Chen ◽  
Guotao Liu ◽  
Hongguang Sheng
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
High Ligation ◽  
Video Vignette
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