Laparoscopic surgery for advanced cancer of the transverse colon and the descending colon Jun-ichi TANAKA 1 , Fumio ISHIDA 1 , Shungo ENDO 1 , Eiji HIDAKA 1 , Masahiko HASHIMOTO 1 , Yuri SAITO 1 , Kishiko IKEHARA 1 , Shin-ei KUDO 1 1Showa University Northern Yokohama Hospital Digestive Disease Center Keyword: 腹腔鏡下手術 , 横行結腸癌 , 下行結腸癌 pp.75-82
Published Date 2008/2/15
DOI https://doi.org/10.11477/mf.4426100150
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 Appropriate dissection of the reginal lymph nodes around the root of middle colic artery(MCA)and left colic artery(LCA)is the most important procedure in laparoscopic surgery for advanced colorectal cancer of the transverse colon and the descending colon. The root of MCA can be dissected from both caudal and cranial sides of the transverse mesocolon. In the case of a descending colon cancer, the inferior mesenteric artery or LCA is dissected through medial approach which is the same as the procedure for laparoscopic sigmoidectomy. Mobilization of the left flexure of the transverse colon from the spleen and the retroperitoneal space can be carried out by dissecting the fusion fascia around the descending colon and the gastrocolic ligament, and finally dissecting of the splenocolic ligament.

Copyright © 2008, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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