High or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer

Date 29 June 2016
Event ESMO World Congress on Gastrointestinal Cancer 2016
Session ESMO World Congress on Gastrointestinal Cancer 2016 - Abstracts book
Presenter A. Zedan
Citation Annals of Oncology (2016) 27 (2): 86-101. 10.1093/annonc/mdw201
Authors A. Zedan
  • SECI, Cairo, Egypt, /

Abstract

In rectal cancer surgery. The position of arterial ligation can affect genito-urinary function, bowel function, oncological outcomes, and the incidence of anastomotic leakage. In low ligation preservation of the autonomic nerve, increased blood supply, decrease in anastomotic leakage. Oncological safety and tension-free anastomosis remain drawbacks. High ligation decrease perfusion and innervation of the proximal limb allows for enbloc dissection of the node metastases at and around the origin of the IMANo conclusive evidence to. Improved survival Objective compare complication and Oncological outcomes between high and low tie of IMA.