Meta-analysis and Trial Sequential Analysis of Randomized Controlled Trials Comparing High and Low Ligation of the Inferior Mesenteric Artery in Rectal Cancer Surgery

• Published in: Diseases of the colon & rectum Vol. 63; no. 7; pp. 988 - 999
• Main Authors: Hajibandeh, Shahab, Hajibandeh, Shahin, Maw, Andrew
• Format: Journal Article
• Language: English
• Published: United States The American Society of Colon and Rectal Surgeons 01.07.2020
• Subjects: Adult; Aged; Aged, 80 and over; Anastomotic Leak - epidemiology; Blood Loss, Surgical; Conversion to Open Surgery - statistics & numerical data; Disease-Free Survival; Humans; Laparoscopy - methods; Ligation - methods; Ligation - trends; Lymph Nodes - pathology; Mesenteric Artery, Inferior - surgery; Middle Aged; Neoplasm Staging - methods; Operative Time; Outcome Assessment, Health Care; Postoperative Complications - epidemiology; Postoperative Complications - mortality; Randomized Controlled Trials as Topic; Rectal Neoplasms - surgery; Rectum - blood supply; Rectum - pathology
• ISSN: 0012-3706; 1530-0358; 1530-0358
• DOI: 10.1097/DCR.0000000000001693

BACKGROUND:Despite ongoing debates, there is still no consensus regarding where to divide the inferior mesenteric artery for oncological reasons in rectal cancerat its origin from the aorta (high ligation) or distal to the origin of the left colic artery (low ligation). OBJECTIVES:The purpose of thi...