Lymph Node Dissection of Laparoscopic Proctosigmoidectomy Shigeki YAMAGUCHI 1 , Shoichi FUJII 2 , Hideaki KIMURA 1 , Yasushi ICHIKAWA 1 , Shigeru YAMAGISHI 2 , Hideyuki IKE 2 , Shigeru OHKI 2 , Hiroshi SHIMADA 1 1Department of Surgery II, Yokohama City University School of Medicine 2Department of Sergery, Yokohama University Medical Center Keyword: 腹腔鏡下大腸切除術 , リンパ節郭清 , 自律神経温存 pp.32-37
Published Date 2002/2/15
DOI https://doi.org/10.11477/mf.4426900288
  • Abstract
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Recently, laparoscopic lymph node dissection has become feasible for sigmoidectomy. However laparoscopic assisted proctectomy is still controversial in regard to the anal transection margin, the rectal irrigation method, and the efficiency of the stapler. The left lumber sympathetic nerve is close to the inferior mesenteric artery (IMA). Therefore the left lumber sympathetic nerve should be divided after the IMA division. Mobilization of the mesocolon is performed by blunt dissection at the plane of the Gerota's fascia. The rectum is mobilized posteriorly, laterally, and anteriorly in a consecutive order.

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