Laparoscopic anterior resection of rectal cancer with lymph node dissection around the inferior mesenteric artery with preservation of the left colic artery (LAR-LND-PLCA)

Background: Laparoscopic anterior resection of rectal cancer with lymph node dissection around the inferior mesenteric artery (IMA) with preservation of the left colic artery (LAR-LND-PLCA) is a highly difficult operation. According to our rich experiences of laparoscopy surgical techniques recent years, we can proficiently master the surgical techniques and difficulties of LAR-LND-PLCA base on the anatomy of blood vessels and the interfacial space. Methods: A 59-year-old patient who was diagnosed as rectal cancer underwent LAR-LND-PLCA. Combined with this case, we share the surgical technology of LAR-LND-PLCA base on our experience. Results: The length of operation was 120 min with bleeding of about 50 mL. The patient recovered well postoperation and discharged from hospital on the 7th day. Conclusions: LAR-LND-PLCA is effective and safe for the rectal cancer. Because it is too difficult, so it must be done in the rich experienced hospital.