The clinical value of inferior mesenteric arterial classification for preserving left colon artery in laparoscopic radical resection of rectal cancer

doi:10.3877/cma.j.issn.2095-3224.2020.05.012

Abstract

Abstract:

Anastomotic leakage is one of the severe complications of laparoscopic assisted-resection of rectal cancer. In order to increase the blood pressure of anastomosis, many surgeons choose to be preserved the left colon artery during operation. However, due to the large branch variation of the inferior mesenteric artery (IMA), the artery bleeding was frequently by various accidents during the operation. The vascular reconstruction for the classification of the IMA could accurately preserve the left colon artery (LCA), and completely dissected D3 lymph nodes. Therefore, we think that the "accurate classification of the inferior mesenteric artery by abdominal CT vascular reconstruction" should be routine examination before rectal cancer surgery. However, in the further, this requires a multi-center large sample clinical studies to provide medical evidence.

Key words: Rectal Neoplasms, Laparoscopes, Laparoscopic assisted-resection of rectal cancer, Inferior mesenteric artery classification, Left colonic artery, CT vascular reconstruction

Yang Luo, Ming Zhong. The clinical value of inferior mesenteric arterial classification for preserving left colon artery in laparoscopic radical resection of rectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(05): 502-506.

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References 25

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