Role of Low Inferior Mesenteric Artery Ligation During Laparoscopic Surgery for Rectosigmoid Cancer

University of Roma La Sapienza120 enrolled

Overview

During sigmoid or rectal cancer surgery, dissection of lymphnodes at the origin of inferior mesenteric artery is mandatory. Nevertheless, ligation of the origin of IMA should compromise blood supply to left colon and affect anastomosis. The aim of this retrospective evaluation is to compare high and low IMA ligation with preservation of LCA, with or without skeletonization of the origin of IMA in laparoscopic colorectal resection.

Study Type

OBSERVATIONAL

Enrollment

120

Conditions

Rectosigmoid Adenocarcinoma

Interventions

Laparoscopic colorectal resectionPROCEDURE

Gruop 1: laparoscopic rectosigmoid resection with standard ligation of mesenteric artery at its origin Group 2: Laparoscopic rectosigmoid resection with low ligation of inferior mesenteric artery and its skeletonization with en bloc removal of all lymph nodes

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * stage I-III carcinoma Exclusion Criteria: * stage IV * Urgent resection * conversion to open surgery

Locations (1)

Policlinico Umberto I

Roma, Italy

Outcomes

Primary Outcomes

effectivenes of lymphnode dissection

number of dissected lymphnodes

Time frame: 3 years

Secondary Outcomes

complication

incidence of anasthomotic leaks

Time frame: 3 years

Data from ClinicalTrials.gov

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