Tips and tricks in laparoscopic management of left colonic vessels – a video vignette

Preservation of inferior mesenteric vessels. Laparoscopic sigmoidectomy for cancer – a video vignette

“…Recently, left colic artery preservation with lymph node dissection of the IMA root during laparoscopic surgery for early rectosigmoid cancer has been proposed to avoid leaks ensuring an adequate lymph node harvest [1]. According to the literature, in advanced cancers high tie of the IMA should be considered mandatory [2,3]; conversely, in the case of early sigmoid cancers, its preservation with lymphadenectomy of the arterial root could be performed with good oncological outcomes and low risk of recurrence and anastomotic leaks. An adequate lymphadenectomy is feasible, as stated by many authors since the 1960s [4].…”