Published in:
01-09-2016 | Trick of the Trade
Superior mesenteric artery stenting and colonic resection for colonic cancer with severe visceral arterial stenosis
Authors:
G. A. Binda, A. Serventi, V. Valle, L. Bacigalupo, A. Valdata, G. Baldino
Published in:
Techniques in Coloproctology
|
Issue 9/2016
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Excerpt
Colon resection for cancer follows standard oncologic principles that include the proximal ligation of the primary arterial supply to the segment harboring the tumor. Variants of the normal arterial anatomy and diseases causing the development of abnormal collateral pathways may be present: If they are not recognized before routine colectomy, there is a high risk of visceral infarction. We describe a case of a splenic flexure adenocarcinoma with a severe superior mesenteric artery (SMA) stenosis treated preoperatively with endovascular stenting. …