Functional and Short-term Outcomes in Elective Laparoscopic Colectomy for Symptomatic Diverticular Disease With Either Low Ligation or Inferior Mesenteric Artery Preservation

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Giulio Mari ◽  
Isacco Montroni ◽  
Matteo Origi ◽  
Jacopo Crippa ◽  
Pietro Achilli ◽  
...  
2021 ◽  
Author(s):  
Pavan Kumar Jonnada ◽  
Monish Karunakaran ◽  
Dayakar Rao

The level of ligation of the inferior mesenteric artery (IMA) is a critical factor that can influence outcomes. The aim of this meta-analysis was to compare outcomes following high or low ligation of IMA. A systematic search was performed for relevant articles published between 2000 and 2020. Meta-analysis was performed using fixed-effects or random-effects models; 31 studies were included. Results show significantly lower rates of anastomotic leak, postoperative morbidity and urinary dysfunction with low ligation compared with high ligation. Though recurrence rates were similar, 5-year overall survival was longer in the low ligation group. Low ligation of IMA decreases anastomotic leak rates and overall morbidity. Addition of IMA nodal clearance to low ligation appears to improve overall survival in colorectal cancer.


2020 ◽  
Vol 22 (9) ◽  
pp. 1205-1206
Author(s):  
R. Peltrini ◽  
E. Pontecorvi ◽  
V. Silvestri ◽  
C. Bartolini ◽  
M. D’Ambra ◽  
...  

Surgery Today ◽  
2020 ◽  
Vol 50 (6) ◽  
pp. 560-568
Author(s):  
Sung Sil Park ◽  
Boram Park ◽  
Eun Young Park ◽  
Sung Chan Park ◽  
Min Jung Kim ◽  
...  

2019 ◽  
Vol 269 (6) ◽  
pp. 1018-1024 ◽  
Author(s):  
Giulio M. Mari ◽  
Jacopo Crippa ◽  
Eugenio Cocozza ◽  
Mattia Berselli ◽  
Lorenzo Livraghi ◽  
...  

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