scholarly journals Lack of Inferior Mesenteric Artery in a Sigmoid Colon Cancer

2018 ◽  
Vol 71 (1) ◽  
pp. 37-40
Author(s):  
Sunao Ito ◽  
Nobuhiro Haruki ◽  
Hideki Tsuji ◽  
Koshiro Harata
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Sigmoid Colon Cancer

scholarly journals A rare case of sigmoid colon cancer in which the lower limbs received collateral blood flow from the inferior mesenteric artery owing to peripheral artery disease

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kyoichi Kihara ◽  
Hiromu Horie ◽  
Kozo Miyatani ◽  
Masayuki Endo ◽  
Tomoyuki Matsunaga ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Peripheral Artery Disease ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Limb Ischemia ◽  
Lower Limbs ◽  
Sigmoid Colon Cancer ◽  
Peripheral Artery ◽  
Artery Disease

Abstract Background Colorectal cancer and peripheral artery disease are common conditions in older adults and may coexist in this population. Lymph node dissection along the inferior mesenteric artery is a vital procedure in cases of left-sided colorectal cancer. However, the inferior mesenteric artery may show a collateral blood pathway in rare cases of peripheral artery disease. We report a case of advanced sigmoid colon cancer in which the lower limbs received inferior mesenteric artery flow owing to asymptomatic peripheral artery disease. The possibility of catastrophic lower-limb ischemia because of complete mesenteric excision with ligation of the inferior mesenteric artery was a matter of concern in this case. Case presentation A 73-year-old man with asymptomatic peripheral artery disease was diagnosed with stage IIIB advanced sigmoid colon cancer. Angiography using a balloon-occlusion catheter revealed that his lower limbs received prominent inferior mesenteric artery blood flow through a collateral pathway. Therefore, interventional radiologists and cardiovascular surgeons evaluated the indications for endovascular stents or bypass grafts. The patient also had dilated cardiomyopathy, so the cardiovascular physicians evaluated his tolerance in the worst-case scenario of a colorectal anastomotic leak. The patient underwent axillofemoral artery bypass and two-stage laparoscopic sigmoid colectomy without anastomosis. The postoperative course was uneventful, and he resumed his job within a month after the resection. Conclusions Although collateral flow from the inferior mesenteric artery is rare in patients with peripheral artery disease, a few case reports have described fatal lower-limb ischemia following anterior resection. The perioperative multidisciplinary evaluation enabled us to understand the patient’s condition and risks, and allowed successful cancer treatment without ischemia of the lower limbs.

The oncologic benefit of high ligation of the inferior mesenteric artery in the surgical treatment of rectal or sigmoid colon cancer

2008 ◽  
Vol 23 (8) ◽  
pp. 783-788 ◽  
Author(s):  
Chih-Chien Chin ◽  
Chien-Yuh Yeh ◽  
Reiping Tang ◽  
Chung-Rong Changchien ◽  
Wen-Shih Huang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Surgical Treatment ◽  
Sigmoid Colon ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
High Ligation ◽  
Sigmoid Colon Cancer

Laparoscopic Inferior Mesenteric Artery Peeling: An Alternative to High or Low Vascular Ligation for Sigmoid Colon Cancer Resection

2016 ◽  
Vol 40 (11) ◽  
pp. 2790-2795
Author(s):  
Elisa Francone ◽  
Pierfrancesco Bonfante ◽  
Maria Santina Bruno ◽  
Donatella Intersimone ◽  
Emilio Falco ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Sigmoid Colon Cancer ◽  
Cancer Resection ◽  
Colon Cancer Resection ◽  
Vascular Ligation

scholarly journals A CASE OF SIGMOID COLON CANCER WITH MASSIVE MELENA CAUSED BY PENETRATION OF A SMALL INTESTINAL MESENTERIC ARTERY

2008 ◽  
Vol 69 (9) ◽  
pp. 2321-2324
Author(s):  
Ryota MORI ◽  
Masahiro KIMURA ◽  
Yoshiyuki KUWABARA ◽  
Akira MITSUI ◽  
Hideyuki ISHIGURO ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Mesenteric Artery ◽  
Sigmoid Colon Cancer ◽  
Small Intestinal

scholarly journals Low ligation inferior mesenteric artery versus selective sigmoidal artery ligation in sigmoid colon cancer: a comparative study

2017 ◽  
Vol 4 (10) ◽  
pp. 3201
Author(s):  
Siripong Sirikurnpiboon ◽  
Chotirot Angkurawaranon ◽  
Ratchamon Pinyoteppratarn ◽  
Kasidin Vitoopinyoparb ◽  
Bunlung Muyphuag ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Operative Time ◽  
Sigmoid Colon Cancer ◽  
Artery Ligation ◽  
Laparoscopic Sigmoidectomy ◽  
Group A ◽  
Low Ligation ◽  
Group B

Background: Ligation at the root of the inferior mesenteric artery (IMA) or ‘high-tie’ is widely accepted during oncologic resection of sigmoid colon cancer surgery. However, IMA ligation may compromise the anastomotic blood supply and risk injury to autonomic nerve plexus. The preservation of IMA or ‘low-tie’ may lead to increase blood flow and decrease postoperative bowel complications, nevertheless require longer operative time and technical difficulties. This study aims to compare the results between laparoscopic sigmoidectomy with selective sigmoidal artery ligation (group A) and low-ligation IMA (group B).Methods: A 1:2 case-matched comparative study and retrospective review of 27 patients with sigmoid cancer (19 female and 8 male) who underwent laparoscopic sigmoidectomy between January 2012 to December 2015. There were 9 patients in group A and 18 patients in group B. Perioperative results were collected and follow-up was recorded at 6 and 12 months after surgery.Results: There were no difference in the mean operative time {group A 194.44 (+28.77), group B 178.89 (+55.52), p=0.349}, blood loss {group A 94.44 (+52.71), group B 79.44 (+58.15), p=0.51}, and mean numbers of harvested lymph nodes {group A 14.56 (+3.74), group B 17.56 (+7.64), p=0.183}. Three patients in group B experienced a short period of stool frequency (2-4 weeks postoperative) and one with constipation. No leakage, bleeding, or tumor recurrence occurred in both groups during the 1 year follow up.Conclusions: Laparoscopic sigmoidectomy with selective sigmoidal artery ligation and lymph node dissection allows equivalent short-term oncologic results to low-ligation IMA technique.

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