Evidence map›Paper›PMID 39254913›Full record

ArticleTechniques in coloproctology2024

Vascular-oriented D3 lymph node dissection with left colic artery preservation for distal sigmoid colon cancer: a variety of techniques.

S K Efetov, A A Zubayraeva, D V Serednyakova, R N Mozharov, R R Saltovets, A Y Koziy

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Article in Techniques in coloproctology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

S K EfetovClinic of Faculty Surgery No. 2, Surgical Department No. 2, Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University, 2-4 Bolshaya Pirogovskaya St, 119991, Moscow, Russia. efetov@mail.ru.ORCID 0000-0003-0283-2217
A A ZubayraevaClinic of Faculty Surgery No. 2, Surgical Department No. 2, Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University, 2-4 Bolshaya Pirogovskaya St, 119991, Moscow, Russia.
D V SerednyakovaClinic of Faculty Surgery No. 2, Surgical Department No. 2, Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University, 2-4 Bolshaya Pirogovskaya St, 119991, Moscow, Russia.
R N MozharovClinic of Faculty Surgery No. 2, Surgical Department No. 2, Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University, 2-4 Bolshaya Pirogovskaya St, 119991, Moscow, Russia.
R R SaltovetsClinic of Faculty Surgery No. 2, Surgical Department No. 2, Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University, 2-4 Bolshaya Pirogovskaya St, 119991, Moscow, Russia.
A Y KoziyClinic of Faculty Surgery No. 2, Surgical Department No. 2, Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University, 2-4 Bolshaya Pirogovskaya St, 119991, Moscow, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the approaches to distal sigmoid colon cancer surgical treatment is segmental colonic resection with vascular preservation of left colic artery (LCA). D3 lymph node dissection may technically vary according to different vascular anatomy. This study aims to show the approaches to D3 lymph node dissection with LCA preservation for distal sigmoid colon cancer according to different patterns of inferior mesenteric artery (IMA) branching.

methodsCT angiography with 3D reconstruction was routinely performed to identify the IMA branching pattern. Laparoscopic distal sigmoid colon resection with D3 lymph node dissection and left colic artery preservation in standardized fashion was performed in all cases. Data, including clinical, intraoperative, and short-term surgical outcomes, is presented as median numbers (Me) and interquartile range (IQR).

resultsTwenty-six patients with distal sigmoid colon cancer were treated with laparoscopic distal sigmoid colon resection. The approach to D3 lymph node dissection varied according to different anatomical variations. There was one conversion (3.8%) and one anastomotic leakage (3.8%) in patients with high BMI. At the same time, there was a high apical lymph node count (Me 3 (IQR 2-5), min-max 0-10) due to the skeletonization of the IMA.

conclusionsThe technical aspects of D3 lymph node dissection with left colic artery preservation may vary in different types of LCA and sigmoid artery branching patterns regardless of the standardized anatomical landmarks. The anatomical features should be considered when performing vascular-sparing lymph node dissection.

Indexed as

Colon, SigmoidLaparoscopyLymph Node ExcisionMesenteric Artery, InferiorSigmoid NeoplasmsAgedAnastomotic LeakColectomyColonComputed Tomography AngiographyFemaleHumansImaging, Three-DimensionalMaleMiddle AgedOrgan Sparing TreatmentsColorectal cancerD3 lymph node dissectionLeft colic artery preservationSigmoid colon cancer

Identifiers

PMID39254913

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