Laparoscopic lymph node dissection around the inferior mesenteric artery for left-sided colon and rectal cancer

Hidekazu Takahashi, Naotsugu Haraguchi, Junichi Nishimura, Taishi Hata, Chu Matsuda, Hirofumi Yamamoto, Tsunekazu Mizushima, Yuichiro Doki, Masaki Mori

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Lymph node dissection is a critical part of surgery for colorectal cancer. Japanese D3 and complete mesocolic excision are two unique principles for lymph node dissection in colorectal cancer. Laparoscopic surgery magnifies the targets and provides insight about the micro-anatomy through high-quality, high-definition imaging, which benefits the surgeon. Although laparoscopic colorectal resection is feasible, there is no universal procedure. We describe in detail the anatomy viewed during lymph node dissection around the inferior mesenteric artery. Visual recognition of two folds on both sides of Landzert’s fossa is the critical first step, as recognizing these structures allows laparoscopic procedures to be performed safely. Our findings suggest that this procedure is feasible and effective for the surgical treatment of patients with left-sided colon or rectal cancer.

Original languageEnglish
Pages (from-to)359-363
Number of pages5
JournalSurgery today
Volume48
Issue number3
DOIs
Publication statusPublished - Mar 1 2018
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic lymph node dissection around the inferior mesenteric artery for left-sided colon and rectal cancer'. Together they form a unique fingerprint.

Cite this