Evidence map›Paper›PMID 40911244›Full record

ArticleAnnals of surgical oncology2026

Two Levels of High Ligation of the Inferior Mesenteric Artery Based on Three Anatomical Fasciae for Colorectal Cancer (with Video).

Hongjie Yang, Qingsheng Zeng, Yuanda Zhou, Peishi Jiang, Jiafei Liu, Zhichun Zhang, Gangcheng Wang, Yi Sun

Abstract readVideo-Audio Media
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In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hongjie YangDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Qingsheng ZengDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Yuanda ZhouDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Peishi JiangDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Jiafei LiuDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Zhichun ZhangDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Gangcheng WangDepartment of Abdominal and Pelvic Tumor Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. 13937152656@163.com.
Yi SunDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China. sunyi@vip.tom.com.

Funding

hospital level scientific research fund of Tianjin Union Medical Center 2022GCXK004Tianjin Key Medical Discipline(Specialty) Construction Project TJYXZDXK-044A
6 · The paper itself

Abstract

backgroundThe ligation of the inferior mesenteric artery (IMA) is the primary procedure during surgeries of the left colon, sigmoid colon, and rectal cancer. Despite the ongoing debate on high or low ligation of the IMA, high ligation (HL) is now preferred by most of the surgeons. However, there is still a lack of consistency in the exact position of HL among surgical videos or introductions presented by different teams, causing confusion to new learners. The fascia-oriented dissection could help to clarify this issue.

resultsThis video shows two definite levels of HL, the supra-nerve HL and the infra-nerve HL based on three biological fasciae around the root of the IMA, with priority given to fascia-oriented dissection, HL of the IMA could be performed safely and efficiently, even in cases with enlarged para-IMA nodes.

conclusionsIt is feasible to adopt the fascial space priority approach for HL of the IMA, and this approach is suitable for patients with enlarged para-IMA lymph nodes.

Indexed as

Colorectal NeoplasmsFasciaMesenteric Artery, InferiorHumansLigationPrognosis

Identifiers

PMID40911244

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.