|Table of Contents|

Controversy of low ligation of inferior mesenteric artery in rectal cancer surgery

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 10
Page:
1956-1959
Research Field:
Publishing date:

Info

Title:
Controversy of low ligation of inferior mesenteric artery in rectal cancer surgery
Author(s):
CHEN Rui1; 2; 3; JIANG Wei1; JIANG Hao1; 2; 3; GAO Feng1; 2; 3
1.The Second Hospital Affiliated to Harbin Medical University，Heilongjiang Harbin 150086，China；2.The First Affiliated Hospital of Ningbo University,Zhejiang Ningbo 315020,China;3.Institute of Digestive Diseases,Ningbo University,Zhejiang Ningbo 315020,China.
Keywords:
inferior mesenteric artery; inferior mesenteric artery root lymph node; left colic artery; anastomotic leakage
PACS:
R735.3
DOI:
10.3969/j.issn.1672-4992.2023.10.037
Abstract:
Ligation of the inferior mesenteric artery (IMA) is an important step in rectal cancer surgery,but the level of ligation has been difficult to reach a consensus.The main points of controversy are whether the left colic artery (LCA) should be preserved intraoperatie,and the incidence of anastomotic leakage,IMA root lymph node dissection (lymph node at site 253),intraoperative nerve injury,and the influence of postoperative defecation,urination,and sexual function cannot be agreed among different research centers.During the operation,it is difficult for the surgeon to form a unified standard for the choice of surgical operation,so it will have different degrees of influence on the surgeon and the patient.With the development of laparoscopic assisted surgery technology and high-definition mirror,3D laparoscope,4K high-definition mirror,microsurgery and 3D CT angiograms,some anatomical problems and difficult fine surgical operations have also been solved and improved to a great extent,which provide support for operators to choose a safer,reasonable and feasible operation.

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Memo

Memo:
吴阶平医学基金会（编号：320.6750.18492）；黑龙江省高等教育教学改革研究项目（编号：SJGY20200448）
Last Update: 1900-01-01