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Techniques in Coloproctology

, Volume 23, Issue 7, pp 695–696 | Cite as

Radio-surgical agreement on the inferior mesenteric artery ligation level in left colon and rectal cancer

  • C. L. A. Ghezzi
  • C. Rahde
  • A. S. Casagrande
  • M. M. Bianchin
  • O. C. Corleta
  • T. L. GhezziEmail author
Correspondence

Dear Sir

Studies on postoperative, functional, and oncological outcomes in left colon cancer (LCC) and rectal cancer (RC) surgery have been based exclusively on the surgeon’s judgment of the inferior mesenteric artery (IMA) ligation level [1, 2, 3]. However, the accuracy of such an evaluation has been poorly investigated. Contrast-enhanced computed tomography (CT) scanning has proven to be useful for postoperative assessment of the vascular ligation level in patients with colon cancer [4, 5].

We retrospectively analyzed preoperative and postoperative multidetector CT (MDCT) images of patients who underwent LCC and RC resection at Hospital de Clínicas de Porto Alegre, Brazil, between 2015 and 2017. Exclusion criteria were multivisceral resection, contraindication for using intravenous contrast agent, prior colorectal resection, unclear information regarding the IMA ligation level, or IMA thrombosis. All surgical procedures were performed by a fourth-year resident of colorectal surgery...

Notes

Compliance with ethical standards

Conflict of interest

Caroline Lorenzoni Almeida Ghezzi, Carolina Rahde, Aline Spader Casagrande, Marino Muxfeldt Bianchin, Oly Campos Corleta, and Tiago Leal Ghezzi declare no conflict of interest.

Ethical approval

The study was conducted in accordance with the ethical standards of the institutional and national research committees, and with the 1964 Helsinki Declaration and its later amendments.

Informed consent

All patients provided written informed consent.

References

  1. 1.
    Fujii S, Ishibe A, Ota M et al (2019) Short-term and long-term results of a randomized study comparing high tie and low tie inferior mesenteric artery ligation in laparoscopic rectal anterior resection: subanalysis of the HTLT (High tie vs. low tie) study. Surg Endosc 33:1100–1110CrossRefGoogle Scholar
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    Mari GM, Crippa J, Cocozza J et al (2018) Low ligation of inferior mesenteric artery in laparoscopic anterior resection for rectal cancer reduces genitourinary dysfunction. Ann Surg 269:1018–1024CrossRefGoogle Scholar
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    Yang Y, Wang G, He J et al (2018) High tie versus low tie of the inferior mesenteric artery in colorectal cancer: a meta-analysis. Int J Surg 52:20–24CrossRefGoogle Scholar
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    Prevot F, Sabbagh C, Deguines JB et al (2013) Are there any surgical and radiological correlations to the levels of ligation of the inferior mesenteric artery after sigmoidectomy for cancer. Ann Anat 195:467–474CrossRefGoogle Scholar
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    Munkedal DLE, Rosenkilde M, West NP, Laurberg S (2019) Routine CT scan one year after surgery can be used to estimate the level of central ligation in colon cancer surgery. Acta Oncol 58:469–471CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • C. L. A. Ghezzi
    • 1
    • 2
    • 6
  • C. Rahde
    • 3
  • A. S. Casagrande
    • 1
  • M. M. Bianchin
    • 2
    • 3
  • O. C. Corleta
    • 4
    • 6
  • T. L. Ghezzi
    • 5
    • 6
    Email author
  1. 1.Radiology ServiceHospital de Clínicas de Porto AlegrePorto AlegreBrazil
  2. 2.Post-Graduate Program in Medical Sciences, School of MedicineFederal University of Rio Grande do SulPorto AlegreBrazil
  3. 3.School of MedicineFederal University of Rio Grande do SulPorto AlegreBrazil
  4. 4.Division of General Surgery, Department of Surgery, Hospital de Clinicas de Porto AlegreFederal University of Rio Grande do SulPorto AlegreBrazil
  5. 5.Division of ColoproctologyHospital de Clinicas de Porto AlegrePorto AlegreBrazil
  6. 6.Moinhos de Vento HospitalPorto AlegreBrazil

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