Laparoscopic lymph node dissection around the inferior mesenteric artery for left-sided colon and rectal cancer.

Abstract:

:Lymph node dissection is a critical part of surgery for colorectal cancer. Japanese D3 and complete mesocolic excision are two unique principles for lymph node dissection in colorectal cancer. Laparoscopic surgery magnifies the targets and provides insight about the micro-anatomy through high-quality, high-definition imaging, which benefits the surgeon. Although laparoscopic colorectal resection is feasible, there is no universal procedure. We describe in detail the anatomy viewed during lymph node dissection around the inferior mesenteric artery. Visual recognition of two folds on both sides of Landzert's fossa is the critical first step, as recognizing these structures allows laparoscopic procedures to be performed safely. Our findings suggest that this procedure is feasible and effective for the surgical treatment of patients with left-sided colon or rectal cancer.

journal_name

Surg Today

journal_title

Surgery today

authors

Takahashi H,Haraguchi N,Nishimura J,Hata T,Matsuda C,Yamamoto H,Mizushima T,Doki Y,Mori M

doi

10.1007/s00595-017-1595-6

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

359-363

issue

3

eissn

0941-1291

issn

1436-2813

pii

10.1007/s00595-017-1595-6

journal_volume

48

pub_type

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