FIELD: medicine; colorectal surgery; oncology.
SUBSTANCE: skeletonization of the transected inferior mesenteric artery to the left colic artery and its branching into descending and ascending branches is performed. Then, precision ligation of the left colic artery is performed at the base, preserving the branching of the left colic artery into the left descending and left ascending colic arteries.
EFFECT: ensuring the preservation of blood supply to the proximal part of the colon at a high intersection of the inferior mesenteric artery, increasing the reliability of the blood supply to the graft of the left parts of the colon, avoiding severe complications associated with anastomotic failure, and improving the quality of life of patients by maintaining backup blood flow.
1 cl, 1 ex
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