Application of sigmoid colon anatomy to laparoscopic surgery.
- Author:
Kaixiong TAO
1
;
Xinghua LIU
2
Author Information
1. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. tao_kaixiong@163.com.
2. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
- Publication Type:Journal Article
- MeSH:
Colectomy;
Colon, Sigmoid;
anatomy & histology;
Humans;
Laparoscopy;
methods;
Sigmoid Neoplasms;
surgery;
Treatment Outcome
- From:
Chinese Journal of Gastrointestinal Surgery
2018;21(8):871-874
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic sigmoidectomy for cancer is considered as a simple surgical approach, which is suitable for primary laparoscopic surgery. However, the success of laparoscopic sigmoidectomy is closely related to the anatomical characteristics of the sigmoid colon. The length, adhesion and morphology of the sigmoid colon vary greatly. The differences of the length, width, adhesion and morphology of the mesentery are large. The distribution of vessels is diversified. The high ligation or the low ligation is still controversial. The location of the sigmoid colon cancer is also not constant. These problems have great influence on the operation. Before operation, the tumor must be accurately located and the anatomical characteristics of the sigmoid colon must be fully evaluated. The operation can be carried out smoothly and the complications during and after the operation can be reduced.
