Significance and surgical techniques of laparoscopic LCA-preservingrectal surgery

doi:10.3877/cma.j.issn.1674-3946.2018.01.003

Abstract

Abstract:

Curative resection of rectal cancer could be achieved by both "high ligation" and "low ligation" of the inferior mesenteric artery(IMA). However, "high ligation " could influence the blood supply of anastomotic stoma, which might increase leakage risk. "Low ligation" preserves the left colic artery(LCA), which could increase the blood supply of anastomotic stoma. According to the principle of total mesenterectomy, LCA-preservingrectal surgery should also include 253 lymph nodes resection. Combined domestic and foreign literature, this article aimed to investigate the significance and surgical techniques of laparoscopic LCA-preservingrectal surgery.

Key words: Rectal Neoplasms, Laparoscopy, Left colic artery

Gang Chen, Shiyong Li. Significance and surgical techniques of laparoscopic LCA-preservingrectal surgery[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(01): 9-11.

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