Surg Laparosc Endosc Percutan Tech
February 2024
Purpose: Total mesorectal excision (TME) is accepted as gold standard method in rectal cancer globally. But there is no standard for lateral lymph nodes. Combination of neoadjuvant treatment plus lateral lymph node dissection (LLND) in select patients might be a promising method.
View Article and Find Full Text PDFBackground: Computer-based training modules use various multimedia components such as text, graphics, animation, and videos that can theoretically facilitate the learning process. Splenic flexure mobilization (SFM) is a crucial step for tension-free colorectal/anal anastomosis that can be a technically demanding step. This study is designed to demonstrate our novel training module for SFM with high-vessel ligation during surgery and present the anatomical landmarks and embryological plans for SFM.
View Article and Find Full Text PDFAim: The aim of this study was to evaluate the arterial collateral vasculature between the superior mesenteric artery and the inferior mesenteric artery (IMA) from a surgical perspective.
Method: A total of 107 fresh adult cadavers (94 male) were studied with emphasis on the vascular anatomy of the left colon. Dissections were carried out mimicking the anterior resection technique.
Background: The IPAA technique restores anal functionality in patients who have had the large intestine and rectum removed; however, 1 of the most important reasons for pouch failure is tension on the anastomosis.
Objective: The aim of this study was to compare technical procedures for mesenteric lengthening used for IPAA to reduce this tension.
Design: After randomization, 4 different techniques for mesenteric lengthening were performed and compared on fresh cadavers.
Background: Knowledge of the normal pattern and variations of the blood supply of the right colon is crucial for better outcomes after colon surgery.
Objective: The purpose of this study was to describe the precise vascular anatomy of the right colon according to surgical perspective.
Design: Adult fresh cadavers were dissected between January 2013 and October 2015, focusing on the venous and arterial anatomy of the right side of the colon.