High ligation of ima

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August undefined, 2024

WebApr 13, 2024 · The ligation level as assessed on CT-angiography was high in 29 (31%) patients and low in 65 (69%). The registered level of ligation of the IMA and the radiological assessment of the CT-angiographies were consistent in 77/94 cases, demonstrating an 82% agreement and a sensitivity and specificity of 86% and 72%, respectively. WebHigh 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). Whether high ligation or low ligation should be performed for rectosigmoid cancer is still debated [ 1 – 5 ].

Comparison of Low and High Ligation With Apical Lymph Node Dissection …

WebAug 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 ... 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 … green bay packers wallpaper 1920 x 1080

Survival benefit of high ligation of the inferior mesenteric artery in ...

WebHigh ligation, the IMA was ligated 1 cm from its origin and dissection the inferior mesenteric lymph nodes as D3. A.Illustration of surgical resection range. B. Laparoscopy displays the amputation of vessels and area of mesenteric. IMA = inferior mesenteric artery. 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. WebNov 27, 2024 · High ligation of the IMA for oncologic purposes will involve removal of the apical lymph nodes and surrounding mesentery at the origin of the IMA. Extensive dissection can disrupt the sympathetic and parasympathetic nerve fibers and potentially cause bowel, bladder, and sexual dysfunction. green bay packers wallpaper

Short- and long-term outcomes of rectal cancer patients …

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 … WebIn human anatomy, the inferior mesenteric artery, often abbreviated as IMA, is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine … green bay packers wallpapersWebApr 11, 2024 · Vascular Ligation. In order to achieve curative resection, one must remove the blood supply and lymphatics from the origin of the superior rectal artery. Ligation of the IMA distal to the takeoff of the left colic artery at the origin of the superior rectal artery also known as “low tie” should be used routinely [19]. green bay packers wallets for men

"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 scheduled minimally invasive resection of sigmoid and rectal cancers on anastomotic leak, postoperative complications, and death within 30 days. " - High ligation of ima

High ligation of ima

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

WebOct 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. WebHigh 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).

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WebThe standard surgical approach for extraperitoneal rectal cancer is low anterior rectal resection (LAR) with total mesorectal excision (TME). 1 The level of inferior mesenteric … 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

WebAug 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 ... WebJul 29, 2024 · High ligation of the inferior mesenteric artery (IMA) from the aorta is widely performed during laparoscopic rectosigmoid colon cancer surgery as it permits safe and easy execution of radical D3 lymphadenectomy . Ligation of the IMA for low anterior resection may induce colonic hypoperfusion.

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 ... WebAug 9, 2024 · Background In the field of rectal cancer surgery, there remains ongoing debate on the merits of high ligation (HL) and low ligation (LL) of the inferior mesenteric artery (IMA) in terms of perfusion and anastomosis leakage. Recently, infrared fluorescence of indocyanine green (ICG) imaging has been used to evaluate perfusion status during …

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, …

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. green bay packers wallpaper pngWebApr 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 … green bay packers wall flagWebAug 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 … flower shops in okcWebAug 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). green bay packers wallpaper graphicWebNational Center for Biotechnology Information flower shops in ocean city new jerseyWebHigh 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 … flower shops in ojai caWebSep 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... green bay packers wallpaper hd