High ligation of ima

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August undefined, 2024

WebOct 28, 2024 · The oncological outcomes of low ligation (LL) compared to high ligation (HL) of the inferior mesenteric artery (IMA) during low-anterior rectal resection (LAR) with total mesorectal excision are still debated. The aim of this study is to report the 5 year oncologic outcomes of patients undergoing laparoscopic LAR with either HL vs. LL of the IMA Web在直肠癌根治术中，肠系膜下动脉(Inferior mesenteric artery,IMA)系的解剖变异对手术的影响易被忽视。腹腔镜直肠癌手术，由于镜下视野的放大作用及显示的清晰度增加，术者可以更细致地观察这些血管的走形，更精细地采取选择性的血管处理和淋巴清扫，增加了 ...

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WebDec 13, 2024 · High ligation of the IMA (H-IMA) was defined as ligation above the left colic artery, while high ligation of the ICA (H-ICA) was defined as the situation in which the ICA traveled anterior and superior to the superior mesenteric vein in ICR. WebJun 24, 2024 · Introduction. Ligation of the inferior mesenteric artery (IMA) is a key procedure during surgery for left colon and rectal cancer. Ligation of the IMA from the origin of the aorta is defined as high ligation, and ligation below the origin of the left colic artery is defined as low ligation ().Based on oncological, technical, and anatomical considerations, … korniche glass options

Potential short-term outcome advantage of low vs. high ligation of ...

WebSymptoms. The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement. Internal hemorrhoids … WebSep 18, 2024 · High ligation of the IMA leads to a decrease in anastomotic blood perfusion 19, 26, which may affect anastomotic healing and functional recovery. The left paraaortic … WebHida J-I, Okuno K. High ligation of the inferior mesenteric artery in rectal cancer surgery. Surg Today. 2013;43(1):8–19. 33. Chin CC, Yeh CY, Tang R, Changchien CR, Huang WS, Wang JY. The oncologic benefit of high ligation of the inferior mesenteric artery in the surgical treatment of rectal or sigmoid colon cancer. man in the saddle cast and crew

Association of high ligation versus low ligation of the

Colonic hypoperfusion following ligation of the inferior mesenteric ...

WebAug 2, 2024 · High ligation is ligation at the root of the inferior mesenteric artery (IMA), whereas low ligation is ligation distal to the bifurcation of the left colic artery (Fig. 1). WebSep 10, 2024 · In laparoscopic radical colorectal cancer surgery, ligation of the IMA at high and low positions has both advantages and disadvantages. Proponents of high ligation … man in the red sweaterWebApr 11, 2006 · However, the benefit of routine use of high ligation in patients undergoing curative resection was low (1·7 per cent, 20 of 1188) and only 0·7 per cent of patients with sigmoid colon or rectal cancer are likely be cured by high ligation of the IMA (incidence rate of metastasis 1·7 per cent, times survival rate 42 per cent). man in the red room

"WebJan 27, 2015 · The HIGHLOW trial is a randomized multicenter controlled trial that will provide evidence on the merits of the level of arterial ligation during laparoscopic anterior rectal resection with total mesorectal excision in terms of better preserved post-operative genito-urinary function. Trial registration ClinicalTrials.gov Identifier: NCT02153801 " - High ligation of ima

High ligation of ima

Potential short-term outcome advantage of low vs. high ligation of ...

WebMethods: The length of the colon after each mobilization technique, that is, low ligation of the inferior mesenteric artery (IMA), high ligation of IMA, high ligation of the inferior mesenteric vein (IMV), and mobilization of splenic flexure, was … WebSep 30, 2014 · Several surgeons indicated that high ligation of the IMA for colorectal cancers can improve lymph node harvest, which facilitates accurate tumor staging Frontiers in Surgery and thus better...

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WebFeb 9, 2024 · Whether to ligate the inferior mesenteric artery at its root during anterior resection for sigmoid colon or rectal cancer is still under debate. This study compared the surgical outcomes, postoperative recovery, and anastomotic leakage between high and low ligation of the inferior mesenteric artery through a subgroup analysis. This was a … WebHigh ligation divides the IMA proximally at its origin, and low ligation ligates the IMA distal to the origin of left colic artery. We assessed the association of level of ligation in …

WebJun 24, 2024 · Ligation of the inferior mesenteric artery (IMA) is a key procedure during surgery for left colon and rectal cancer. Ligation of the IMA from the origin of the aorta is … WebJul 10, 2024 · The controversy on the choice of high or low ligation of IMA has focused on the anastomotic leakage and oncological outcomes, these 2 have their own aspects. High ligation ensures the IMA lymphatic clearance even though debated for increasing the risk of anastomotic leakage as it jeopardized blood supply of LCA.

WebAug 2, 2024 · There are two options for ligation of the inferior mesenteric artery (IMA): (1) high ligation, with ligation of the left colic artery (LCA), and (2) low ligation, with … WebJan 6, 2024 · Low or High Ligation of the IMA With Apical Lymph Node Dissection in Rectal Cancer Laparoscopic Surgery - Full Text View - ClinicalTrials.gov 5-years overall survival rate [ Time Frame: 5 years ] 5-years overall survival rate 5-years disease free survival rate [ Time Frame: 5 years ] 5-years disease free survival rate

WebApr 12, 2024 · Since high ligation of the IMA was performed in these patients, the insufficient blood supply to the proximal colonic limb might have progressed and aggravated ischemia. In addition, a retrospective review of the patient who underwent resection of the proximal limb and end ileostomy revealed that the patient had suffered from a …

WebHowever, high ligation of the IMA (HL) theoretically compromises blood supply to the anastomosis due to removal of the left colic artery (LCA) and raises the concern of … man in the ring speechWebHigh versus low inferior mesenteric artery ligation The inferior mesenteric artery (IMA) can be divided either flush on the aorta, although 1–2 cm distally from its origin is now recommended to reduce autonomic nerve injury (high ligation), or below the take-off of the left colic artery (low ligation). man in the saddle imdbWebAug 2, 2024 · High ligation of the inferior mesenteric artery was associated with higher incidence of anastomotic leakage (14.9% vs. 5.6%, P = 0.041) for mid- to low-rectum tumors and a higher incidence of ... man in the saddle 1951 filmWebAug 1, 2024 · In 1908, Moynihan and Miles first introduced two different techniques for the ligation of the inferior mesenteric artery (IMA): high ligation (HL) and low ligation (LL) [4]. HL refers to the ligation of the IMA immediately after it branches off the anterior surface of the abdominal aorta, whereas LL refers to ligation at the level of the ... man in the red bandanaWebJun 28, 2011 · No improved survival was seen in patients when the inferior mesenteric artery was ligated above the origin of the left colic artery when the Dukes' C adenocarcinoma was removed. Expand. 175. ... high ligation of the inferior mesenteric artery has not been found to improve 5-year survival in patients with cancer of the rectum or rectosigmoid ... korniche roof lantern opening sizeWebHigh ligation divides the IMA proximally at its origin, and low ligation ligates the IMA distal to the origin of left colic artery. We assessed the association of level of ligation in scheduled minimally invasive resection of sigmoid and rectal cancers on anastomotic leak, postoperative complications, and death within 30 days. man in the saddle wikiWebOct 7, 2012 · High ligation of the IMA does not represent a source of increased anastomotic leak in rectal cancer surgery and postoperative quality of life is improved by preserving the hypogastric nerve without compromising the radicality of the operation. More importantly, high ligation of the IMA improves node harvest, enabling accurate tumor staging. korniche made for trade