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

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.

Indication for using high ligation of the inferior mesenteric artery in rectal cancer surgery

1998 ◽  
Vol 41 (8) ◽  
pp. 984-987 ◽  
Author(s):  
Jin-ichi Hida ◽  
Masayuki Yasutomi ◽  
Takamasa Maruyama ◽  
Kiyoshige Fujimoto ◽  
Akihiro Nakajima ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Cancer Surgery ◽  
High Ligation ◽  
Rectal Cancer Surgery

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

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
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