Anatomical study of the left colic artery in laparoscopic-assisted colorectal surgery

2019 ◽  
Vol 34 (12) ◽  
pp. 5320-5326
Author(s):  
Wei Zhang ◽  
Wei-Tang Yuan ◽  
Gui-xian Wang ◽  
Jun-Min Song
Keyword(s):  
Colorectal Surgery ◽  
Anatomical Study ◽  
Colic Artery ◽  
Left Colic Artery ◽  
Laparoscopic Assisted

Intraoperative ultrasonic navigation for laparoscopic colorectal surgery with preservation of the left colic artery

2018 ◽  
Vol 22 (9) ◽  
pp. 703-708 ◽  
Author(s):  
T. Urade ◽  
R. Fujinaka ◽  
T. Abe ◽  
K. Murata ◽  
Y. Mii ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Colic Artery ◽  
Left Colic Artery ◽  
Ultrasonic Navigation

scholarly journals Robotic colorectal surgery: more than a fantastic toy?

2018 ◽  
Vol 3 (1) ◽  
pp. 65-68 ◽  
Author(s):  
James W.T. Toh ◽  
Kevin Phan ◽  
Seon-Hahn Kim
Keyword(s):  
Rectal Cancer ◽  
Colorectal Surgery ◽  
Da Vinci Surgical System ◽  
Current Evidence ◽  
Rectal Cancer Surgery ◽  
Cancer Trial ◽  
Robotic Colorectal Surgery ◽  
Significant Difference ◽  
Meta Analyses ◽  
Laparoscopic Assisted

AbstractThere has been a rapid rise in the number of robotic colorectal procedures worldwide since the da Vinci Surgical System robotic technology was approved for surgical procedures in the year 2000. Several recent meta-analyses and systematic reviews have shown a significant difference in outcomes between robotic and laparoscopic rectal cancer surgery. However, these results from pooled data have not been supported by the initial results reported from the Robotic assisted versus laparoscopic assisted resection for rectal cancer trial. In this article, we examine the current evidence for robotic colorectal surgery, assess its features and functionality, evaluate its learning curve and provide our perspective on its future.

scholarly journals Anatomical Study of Variations in the Branches of Superior Mesenteric Artery – A Study from a Teaching Hospital in Chennai, India

2021 ◽  
Vol 10 (20) ◽  
pp. 1506-1510
Author(s):  
Ganga Venkatachalam ◽  
Kanagavalli Paramasivam ◽  
Lakshmi Valliyappan
Keyword(s):  
Superior Mesenteric Artery ◽  
Abdominal Aorta ◽  
Mesenteric Artery ◽  
Lumbar Vertebra ◽  
Anatomical Study ◽  
Middle Colic Artery ◽  
Branching Pattern ◽  
Colic Artery ◽  
Human Cadavers ◽  
Derivatives Of

BACKGROUND Superior Mesenteric Artery (SMA) is one of the anterior branches of the abdominal aorta. It originates from abdominal aorta at the level of lower border of first lumbar vertebra, one centimeter below the coeliac trunk. It gives the first branch inferior pancreaticoduodenal artery (IPDA), The colic branches arise from concave right side of the superior mesenteric artery, these are middle colic artery (MCA), right colic artery (RCA), ileo colic artery (ICA). Jejunal and ileal branches arise from left side of the SMA. Superior mesenteric artery supplies derivatives of midgut. Knowledge of branching pattern of the SMA is clinically important to gastroenterologists operating on gut and neighboring structures like pancreas, duodenum, and liver. We wanted to study the variations in the branches of superior mesenteric artery. METHODS This is a descriptive study conducted on 50 adult embalmed human cadavers by conventional dissection method, the findings were noted and tabulated. RESULTS Present study shows that inferior pancreatic duodenal artery orginated from SMA in 47 (94 %) specimens. IPDA was absent in 3 (6 %) specimens. Middle colic artery was found to arise from SMA in 48 (94 %) and MCA was absent in 2 (4 %) specimens. Right colic artery was found to arise from SMA in 47 (94 %) specimens and it was absent in 3 (6 %) specimens. Ileo-colic artery was found to arise from SMA in all 50 (100 %) specimens. CONCLUSIONS Awareness of these complex variations may prevent devastating complications during colonic surgeries. Variations in the branching pattern of superior mesenteric artery is essential for surgeons operating on derivatives of midgut, liver, pancreas. KEY WORDS Branches, Colic, Superior Mesenteric Artery, Variations

Laparoscopic-assisted colorectal surgery benefits visceral obesity patients

2019 ◽  
Vol 31 (7) ◽  
pp. 786-791
Author(s):  
Xing-Zhao Ye ◽  
Xi-Yi Chen ◽  
Xiao-Jiao Ruan ◽  
Wei-Zhe Chen ◽  
Liang-Liang Ma ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Visceral Obesity ◽  
Laparoscopic Assisted

PS01.117: TOTAL LAPAROSCOPIC MIDCOLON RETROSTERNAL ESOPHAGEAL BYPASS FOR CORROSIVE STRICTURE ESOPHAGUS

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 83-83
Author(s):  
Kalayarasan Raja
Keyword(s):  
Conflicts Of Interest ◽  
Open Approach ◽  
Colic Artery ◽  
Left Colic Artery ◽  
Duration Of Surgery ◽  
Colonic Conduit ◽  
Vascular Arcade ◽  
Corrosive Stricture ◽  
Conventional Open Approach ◽  
Excellent Cosmetic Result

Abstract Description Colonic bypass for corrosive stricture of the esophagus is traditionally performed using the conventional open approach. A laparoscopic mid colon retrosternal bypass has not been reported in the literature. Total laparoscopic left colic artery based mid colon retrosternal esophageal bypass is described in this report. Method: A 25-year-old female presented with acid-induced long esophageal stricture starting at 18cm from incisors refractory to endoscopic dilatation. The laparoscopic mid colon esophageal bypass was performed using 5 abdominal ports. The essential steps are colonic mobilization and assessment of the adequacy of the mesocolic vascular arcade by clamping middle colic, right colic, and ileocolic vessels proximal to their branching, creation of the retrosternal tunnel, preparation of left colic artery based colon conduit by dividing terminal ileum proximal to ileocecal junction, neck dissection to expose cervical esophagus and delivering the colonic conduit retrosternally into the neck. Reconstruction was performed by side to side esophagocoloplasty, side to side cologastric and ileocolic anastomosis. Results: The duration of surgery was 410 minutes and blood loss was 150 mL. The patient had an uneventful postoperative course. She was started on oral semisolids on postoperative day 7 and discharged on the tenth postoperative day. At 9 months follow up the patient is euphagic to solid diet with an excellent cosmetic result. Conclusion: Total laparoscopic mid colon esophageal bypass is a feasible procedure for the management of corrosive stricture of the esophagus Disclosure All authors have declared no conflicts of interest.

scholarly journals The feasibility of laparoscopic TSME preserving the left colic artery and superior rectal artery for upper rectal cancer

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Chi Zhang ◽  
Hao-tang Wei ◽  
Wenqing Hu ◽  
Yueming Sun ◽  
Qinyuan Zhang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Colic Artery ◽  
Left Colic Artery ◽  
Superior Rectal Artery
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