High ligation of the inferior mesenteric artery with hypogastric nerve preservation in rectal cancer surgery.
We describe herein a technique of performing upward node dissection following high ligation of the inferior mesenteric artery for patients with T3 and T4 rectal carcinomas. The course of the hypogastric nerve is confirmed macroscopically during the procedure to ensure its preservation. This technique offers both increased radicality and the prevention of ejaculatory dysfunction.
Hida
J
J
First Department of Surgery, Kinki University School of Medicine, Osaka-Sayama, Japan.
Yasutomi
M
M
Maruyama
T
T
Uchida
T
T
Nakajima
A
A
Wakano
T
T
Tokoro
T
T
Kubo
R
R
D013505:Digestive System Surgical Procedures / Q000379:methods; D004542:Ejaculation; D006801:Humans; D007001:Hypogastric Plexus / Q000473:pathology / Q000601:surgery; D008026:Ligation / Q000379:methods; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000294:innervation* / Q000601:surgery