Details

Autor(en) / Beteiligte

• Wu, Jin-Hao
• Rong, Zhen-Xiang
• Zhu, Da-Jian
• Chen, Xiao-Wu
• Ren, Bao-Jun

Titel

Laparoscopic anterior resection of rectal carcinoma with preservation of the left colonic artery

Ist Teil von

• Nan fang yi ke da xue xue bao = Journal of Southern Medical University, 2009-06, Vol.29 (6), p.1249

Ort / Verlag

China

Erscheinungsjahr

2009

Quelle

MEDLINE

Beschreibungen/Notizen

• To evaluate the feasibility and efficacy of laparoscopic anterior resection of rectal carcinoma with preservation of the left colonic artery. From February 2006 to February 2009, 52 patients with rectal carcinoma formerly scheduled for Dixon operation (clinical stage I and II) received laparoscopic Dixon surgery. The inferior mesenteric artery, left colonic artery, sigmoid artery or superior rectal artery, and lymph nodes were dissected through the vasa vasorum approach. The left colonic artery was retained by transecting the inferior mesenteric artery inferior to the left colonic artery. The operative time, intraoperative hemorrhage volume, intraoperative complications, anastomotic tension, number and histopathological features of the dissected lymph nodes surrounding the inferior mesenteric artery, and the rates of local recurrence, lymph node metastasis and anastomotic leakage were analyzed. The operation was successfully completed in all the 52 cases. The operative time ranged from 115 to 320 min with a m