Surgery Today

, Volume 29, Issue 5, pp 482–483 | Cite as

High ligation of the inferior mesenteric artery with hypogastric nerve preservation in rectal cancer surgery

  • Jin-Ichi Hida
  • Masayuki Yasutomi
  • Takamasa Maruyama
  • Toshihiro Uchida
  • Akihiro Nakajima
  • Tsukasa Wakano
  • Tadao Tokoro
  • Ryuichi Kubo
How to Do It

Abstract

We describe herein a technique of performing upward node dissection following high ligation of the inferior mesenteric artery for patients with T3 and T4 rectal carcinomas. The course of the hypogastric nerve is confirmed macroscopically during the procedure to ensure its preservation. This technique offers both increased radicality and the prevention of ejaculatory dysfunction.

Key Words

rectal cancer high ligation of inferior mesenteric artery preservation of hypogastric nerve 

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Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Jin-Ichi Hida
    • 1
  • Masayuki Yasutomi
    • 1
  • Takamasa Maruyama
    • 1
  • Toshihiro Uchida
    • 1
  • Akihiro Nakajima
    • 1
  • Tsukasa Wakano
    • 1
  • Tadao Tokoro
    • 1
  • Ryuichi Kubo
    • 1
  1. 1.First Department of SurgeryKinki University School of MedicineOsaka-Sayama, OsakaJapan

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