Sigmoid resection for diverticular disease – to ligate or to preserve the inferior mesenteric artery? Results of a systematic review and meta‐analysis

2019 ◽  
Vol 21 (6) ◽  
pp. 623-631 ◽  
Author(s):  
R. Cirocchi ◽  
G. Popivanov ◽  
G. A. Binda ◽  
B. M. Henry ◽  
K. A. Tomaszewski ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diverticular Disease ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Meta Analysis ◽  
Sigmoid Resection

scholarly journals Preserving the superior rectal artery in laparoscopic anterior resection for complete rectal prolapse

2002 ◽  
Vol 49 (2) ◽  
pp. 25-26 ◽  
Author(s):  
D. Ignjatovic ◽  
R. Bergamaschi
Keyword(s):  
Rectal Prolapse ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Current Practice ◽  
Sigmoid Resection ◽  
Complete Rectal Prolapse ◽  
Complication Rates ◽  
Superior Rectal Artery ◽  
Laparoscopic Anterior Resection

Anterior resection for the treatment of full thickness rectal prolapse has been around for over four decades. 1 However, its use has been limited due to fear of anastomotic leakage and related morbidity. It has been shown that high anterior resection is preferable to its low counterpart as the latter increases complication rates. 2 Although sparing the inferior mesenteric artery in sigmoid resection for diverticular disease has been shown to decrease leak rates in a randomized setting, 3 vascular division is current practice. We shall callenged this current practice of dividing the mesorectum in anterior resection for complete rectal prolapse developing a technique that allows the preservation of the superior rectal artery.

scholarly journals High tie versus low tie of the inferior mesenteric artery in colorectal cancer: A meta-analysis

2018 ◽  
Vol 52 ◽  
pp. 20-24 ◽  
Author(s):  
Yafan Yang ◽  
Guiying Wang ◽  
Jingli He ◽  
Jianfeng Zhang ◽  
Jinchuan Xi ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Meta Analysis ◽  
High Tie ◽  
Low Tie

Outcomes of level of ligation of inferior mesenteric artery in colorectal cancer: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Pavan Kumar Jonnada ◽  
Monish Karunakaran ◽  
Dayakar Rao
Keyword(s):  
Colorectal Cancer ◽  
Overall Survival ◽  
Anastomotic Leak ◽  
Mesenteric Artery ◽  
Fixed Effects ◽  
Inferior Mesenteric Artery ◽  
Meta Analysis ◽  
High Ligation ◽  
Recurrence Rates ◽  
Low Ligation

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.

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