alexa Apical Lymph Nodes Dissection And Low Ligation Of Inferior Mesenteric Artery In The Management Of Distal Colorectal Cancer
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading Please wait..

13th International Conference on Surgical Pathology & Practice
March 27-28, 2017 Madrid, Spain

Ahmed F Elkased, Ahmed S Elgammal, Mohammed S Ammar and Tamer Fakhry
Menoufia University, Egypt
Posters & Accepted Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.C1.030
Background: Nowadays surgery for colorectal cancer has been standardized both ways in open and laparoscopic approaches. But there are still debates regarding the level of ligation of the IMA: at its origin from aorta (high ligation) or below the origin of left colic artery (low ligation). The technique of apical lymph node dissection with preservation of LCA has the advantage of both, better lymph node harvest and lower postoperative complications. Aim: Curative resection of sigmoid and rectal cancer includes high ligation of the inferior mesenteric artery (IMA). However, IMA ligation compromises blood flow to the anastomosis, which may increase the leakage rate, and carries the possibility of injury of autonomic nerve plexus. Accordingly, in this study we employ a technique of lymph node (LN) dissection around the IMA, preserving the IMA and left colic artery (LCA) and compare it with high and low ligation. Materials & Methods: This is a prospective study which included 81 patients with operable distal colorectal cancer admitted to general surgery department in Menoufia University Hospitals from May 2012 to October 2015. Cases were divided by random serial number method into three groups: group (A) 27 cases for high ligation, group (B) 27 cases for low ligation and group (C) 27 cases for low ligation and apical lymph node dissection. Results: There was high significant difference between the studied groups regarding to the number of harvested lymph nodes with Mean±SD; 18.3±4.05 for high ligation versus 11.3+3.2 for low ligation and 17.7+3.81 for apical dissection. Also there was significant difference between studied groups as regarding the postoperative genito-urinary complications. Conclusions: Lymph node dissection around the IMA preserving the root of the IMA and LCA was feasible by our method, without compromising operation time, blood loss or the number of harvested lymph nodes with accepted rate of postoperative complications.


image PDF   |   image HTML

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

1-702-714-7001Extn: 9037

Business & Management Journals


1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version