Long-term outcomes of laparoscopic low anterior resection of rectal carcinoma with preservation of the left colic artery

To investigate the long-term outcomes of laparoscopic low anterior resection of rectal carcinoma with preservation of the left colic artery(LCA). Clinicopathological and follow-up data of 322 cases with rectal carcinoma undergoing laparoscopic low anterior resection in Department of General Surgery,...

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Published inZhonghua wei chang wai ke za zhi Vol. 20; no. 6; p. 660
Main Authors Shen, Jian, Li, Minzhe, Du, Yanfu, Xie, Dehong, Qu, Hao, Zhang, Yudong
Format Journal Article
LanguageChinese
Published China 25.06.2017
Subjects
Humans
Laparoscopy
Mesenteric Artery, Inferior - surgery
Neoplasm Recurrence, Local
Rectal Neoplasms - blood supply
Rectal Neoplasms - surgery
Retrospective Studies
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Summary:To investigate the long-term outcomes of laparoscopic low anterior resection of rectal carcinoma with preservation of the left colic artery(LCA). Clinicopathological and follow-up data of 322 cases with rectal carcinoma undergoing laparoscopic low anterior resection in Department of General Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University from January 2007 to December 2011 were retrospectively analyzed. According to the different surgical methods of inferior mesenteric artery (IMA), cases were divided into the trial group (LCA preservation plus lymph nodes around IMA root dissection, 168 cases) and the control group(origin of IMA ligation, 154 cases). The 5-year rates of disease-free survival(DFS) and overall survival(OS) were compared between two groups. There were no statistically significant differences in the baseline data between the two groups. The follow-up rate was 91.1%(153/168) during 5-60 months in the trial group, and 90.3%(139/154) during 6-60 months in the control grou
ISSN:1671-0274