Published in:
01-12-2011 | Colorectal Cancer
High Ligation of Inferior Mesenteric Artery: A Standard Procedure for Colorectal Cancer?
Author:
Theodore Liakakos, MD
Published in:
Annals of Surgical Oncology
|
Special Issue 3/2011
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Excerpt
The level of ligation of inferior mesenteric artery (IMA) in patients with colon or rectal cancer in open or laparoscopic surgery has been controversial. In a recent cross-sectional survey among high-volume surgeons, 69% perform high ligation of the IMA and 72% laparoscopic proctectomy.
1 Although standardization of colorectal resection with high ligation of IMA is a safe procedure and the operating time is not longer for experienced surgeons, there has been criticism that it is an overtreatment, requires mobilization of splenic flexure to prevent risk of anastomosis, and has limited benefit in recurrence-free and overall survival. …