The adequacy of the marginal blood-supply to the left colon after high ligation of the inferior mesenteric artery during excision of the rectum

1954 ◽  
Vol 41 (168) ◽  
pp. 351-353 ◽  
Author(s):  
J. C. Goligher
Keyword(s):  
Blood Supply ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Left Colon ◽  
High Ligation

Outcomes of level of ligation of inferior mesenteric artery in colorectal cancer: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Pavan Kumar Jonnada ◽  
Monish Karunakaran ◽  
Dayakar Rao
Keyword(s):  
Colorectal Cancer ◽  
Overall Survival ◽  
Anastomotic Leak ◽  
Mesenteric Artery ◽  
Fixed Effects ◽  
Inferior Mesenteric Artery ◽  
Meta Analysis ◽  
High Ligation ◽  
Recurrence Rates ◽  
Low Ligation

The level of ligation of the inferior mesenteric artery (IMA) is a critical factor that can influence outcomes. The aim of this meta-analysis was to compare outcomes following high or low ligation of IMA. A systematic search was performed for relevant articles published between 2000 and 2020. Meta-analysis was performed using fixed-effects or random-effects models; 31 studies were included. Results show significantly lower rates of anastomotic leak, postoperative morbidity and urinary dysfunction with low ligation compared with high ligation. Though recurrence rates were similar, 5-year overall survival was longer in the low ligation group. Low ligation of IMA decreases anastomotic leak rates and overall morbidity. Addition of IMA nodal clearance to low ligation appears to improve overall survival in colorectal cancer.

Arc of Riolan-Dominant Colonic Perfusion Identified By Indocyanine Green After High Ligation of Inferior Mesenteric Artery

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hyunmi Park ◽  
Guglielmo Niccolo Piozzi ◽  
Tae Hoon Lee ◽  
Ji Seon Kim ◽  
Hong Bae Choi ◽  
...  
Keyword(s):  
Indocyanine Green ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
High Ligation

Indication for using high ligation of the inferior mesenteric artery in rectal cancer surgery

1998 ◽  
Vol 41 (8) ◽  
pp. 984-987 ◽  
Author(s):  
Jin-ichi Hida ◽  
Masayuki Yasutomi ◽  
Takamasa Maruyama ◽  
Kiyoshige Fujimoto ◽  
Akihiro Nakajima ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Cancer Surgery ◽  
High Ligation ◽  
Rectal Cancer Surgery

Proximal Bowel Necrosis after High Ligation of the Inferior Mesenteric Artery in Colorectal Surgery

2012 ◽  
Vol 101 (1) ◽  
pp. 21-25 ◽  
Author(s):  
S. Tsujinaka ◽  
Y. J. Kawamura ◽  
K.-Y. Tan ◽  
K. Mizokami ◽  
J. Sasaki ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
High Ligation ◽  
Bowel Necrosis

scholarly journals A Short-Term Outcome on Ligating the Different Levels of the Inferior Mesenteric Artery (IMA). A Prospective Cohort Study.

2021 ◽  
Author(s):  
Dujanand Singh ◽  
He Long ◽  
Lie Yang ◽  
wang Cun ◽  
Yongyang Yu ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Histopathological Examination ◽  
High Ligation ◽  
Main Concern ◽  
Term Outcome ◽  
Colorectal Cancer Surgery ◽  
Anastomosis Leakage ◽  
Low Ligation ◽  
The Impact

Abstract Background: This study is to analyze the impact on the level of Inferior mesenteric artery (IMA) ligation of Colorectal cancer surgery. The retrieval of lymph nodes (LNs) and anastomotic leakage was the main concern of this study. Methods: In this prospective study, the high and low ligation cases were selected. The retrieved LNs from roots of the inferior mesenteric artery (IMA) and left colic artery (LCA) was sent for histopathological examination (HPE), irrespective of the method of ligation. The observation of HPE results and Anastomosis leakage were analyzed.Result: In the total numbers of 369 cases, 12 cases were cancer positive LNs at the root of IMA despite 349 harvested LNs. On another hand, just one case showed LCA positive LNs obliviously because just 12 cases were had harvested LNs at the root of LCA. where Two cases of leakage were seen in both groups over a three-month follow-up. Conclusions: This result signifies the importance of IMA root LNs clearance and concern of high ligation. However, the small number of cases demand further well-designed RCTs to make an evidence-based decision.

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