Skip to main content
2025 ASCRS Annual Scientific Meeting Main banner
Final Program


Visit ASCRS U
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Presentation Icons
CME
CME
Invitation/Ticketed Event
Invitation/Ticketed Event
Invited Lectureship
Invited Lectureship
Award Recipient
Award Recipient
Self-Assessment
Self-Assessment
Social
Social
Industry
Industry
Back
Video

Session: Ongoing Videos

VM80 - Safe Pedicle Dissection ; What Every Colorectal surgeon Needs to Know.

ONGOING VIDEOS
Location: ASCRS Connect Lounge, Hall B1/B2, Ground Level

    Video Presentation(s)

  • Akash Mor, MS, MCh

    Trainee, Division of Colorectal Surgery , Department of Surgical oncology
    Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai , India
    Aurangabad, Maharashtra, India

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Author(s)

  • CS

    Chintan Safi, MS, MCh

    Fellow
    Tata Memorial Hospital
    Mumbai, Maharashtra, India

    Disclosure information not submitted.

  • AS

    ANKIT SHARMA, MBBS, MS, MCH

    ASSISTANT PROFESSOR
    TATA MEMORIAL HOSPITAL, MUMBAI
    Tata Memorial Hospital, Mumbai
    MUMBAI, Maharashtra, India

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Senior Author(s)

  • Avanish P. Saklani, Tata memorial Hospital, Homi Bhabha National Institute, Mumbai

    Professor
    Division of colorectal Surgeon, Department of Surgical oncology
    Tata Memorial hospital , Mumbai
    Mumbai, Maharashtra, India

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

All of the relevant financial relationships listed below have been mitigated.
Akash Mor, MS, MCh: This individual has no financial relationships with ineligible companies.
ANKIT SHARMA, MBBS, MS, MCH: This individual has no financial relationships with ineligible companies.
Avanish P. Saklani, Tata memorial Hospital, Homi Bhabha National Institute, Mumbai: This individual has no financial relationships with ineligible companies.
Image or Table (Do Not add text here):

Purpose/Background: This video addresses critical considerations for safe pedicle dissection in rectal cancer surgery, focusing on three key challenges: the Meandering Artery of Moskowitz, high versus low ligation of the inferior mesenteric artery (IMA), and atypical D3/D4 nodes of unknown significance.

Methods/Interventions: The Meandering Artery of Moskowitz, a vascular connection between the superior and inferior mesenteric arteries, is distinguished from the Arc of Riolan by its more prominent and consistent collateral circulation. Proper identification and management of this artery during surgery are crucial to prevent ischemic complications, such as gangrene of the colon. Additionally, the video discusses the outcomes of high versus low IMA ligation, highlighting the preference for low ligation in elderly or atherosclerotic patients to reduce nerve damage and preserve blood flow.

Lastly, we introduce 'Bansod nodes,' atypical nodes located between the superior hypogastric plexus and the IMA, which cannot be classified as D3 or D4 nodes. Though typically benign, these nodes should be removed during surgery due to occasional malignancy.

Results/Outcomes: This video provides strategies for safe pedicle dissection, offering essential insights to improve oncological outcomes and minimize surgical risks.

Conclusion/Discussion: This video provides strategies for safe pedicle dissection, offering essential insights to improve oncological outcomes and minimize surgical risks.