title: [The paraaortic lymphadenectomy with the lower mesenteric artery sceletonization for the sigmoid cancer treatment].
abstract: 43 patients with sigmoid cancer stage I--III were operated on. The mean operative time was 206.2±73.0 min, considering the sceletonization of the lower mesenteric artery together with the paraaortic lymphadenectomy took 28±9 min. The long-term follow-up was performed in all the patients. The median follow-up time was 39.35±13.1 months. 4 patients had died, 3 of them because of the cancer progression. The paraaortic lymphadenectomy with the lower mesenteric artery sceletonization is now considered to be the method of choice in treatment of sigmoid cancer. The operation is reasonably safe considering the rate of intra- and postoperative complication rate.
authors.forename: P V
authors.initials: PV
authors.lastname: Tsar'kov
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Kravchenko
authors.forename: I A
authors.initials: IA
authors.lastname: Tulina
authors.forename: B N
authors.initials: BN
authors.lastname: Bashankaev
authors.forename: O Iu
authors.initials: OIu
authors.lastname: Samofalova
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal; D003082:Colectomy / Q000379:methods*; D012809:Colon, Sigmoid / Q000098:blood supply / Q000473:pathology; D004210:Dissection / Q000379:methods*; D005260:Female; D006801:Humans; D008026:Ligation / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012811:Sigmoid Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D013152:Splanchnic Circulation; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome