Current best practices and rationalistic perspectives in causation-based prevention, early detection and multidisciplinary treatment of breast and gastric cancer

Gastric & Breast Cancer e-journal
DOI: 10.2122/gbc.2011.0194

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Sigmoid or rectal cancer: do patients benefit from high ligation of inferior mesenteric artery ?

Ernst Hanisch, MD.

Affiliation: Prof. Dr.med. Ernst Hanisch, Chefarzt und Ärztlicher Direktor, Klinik für Allgemein- Viszeral- und Endokrine Chirurgie, Asklepios Klinik Langen, Akademisches Lehrkrankenhaus der JWG-Universität Frankfurt, Röntgenstr 20, 63225 Langen .

Tel: 06103/912 61200; FAX: 06103/9121814,

Email: E.Hanisch@Asklepios.com

Since there is no abstract available we provide the first paragraph

The extent of lymph node dissection in the surgical treatment of primary left colon or rectal cancer is debated. A latest well designed and appropriately conducted phase 3 randomized trial has provided disappointing results on cetuximab treatment for KRAS wild-type colorectal cancer. Therefore, the interest in achieving the best possible locoregional tumor control by surgery re-attracts major interest by physicians and treatment. In many specialized institutions high ligation of inferior mesenteric artery has been standardized as a surgical procedure with no increase in operating time and postoperative morbidity. But evidence for reducing local and nodal recurrence after this surgical approach is still insufficient. Here, I discuss whether patients with sigmoid or rectal cancer benefit or not from high ligation of inferior mesenteric artery and splenic flexure mobilization.

(Citation: Gastric & Breast Cancer 2011; 10(4) 241-243)

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Online ISSN : 1109 - 7647
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last update: 9 September 2011