| Autor: |
He Long, zhongguan zhou, wang Cun, Dujanand Singh, Yongyang Yu, Lie Yang |
| Rok vydání: |
2021 |
| Předmět: |
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| DOI: |
10.21203/rs.3.rs-319000/v1 |
| Popis: |
Background: This study is to analyze the impact on the level of Inferior mesenteric artery (IMA) ligation of Colorectal cancer surgery. The retrieval of lymph nodes (LNs) and anastomotic leakage was the main concern of this study. Methods: In this prospective study, the high and low ligation cases were selected. The retrieved LNs from roots of the inferior mesenteric artery (IMA) and left colic artery (LCA) was sent for histopathological examination (HPE), irrespective of the method of ligation. The observation of HPE results and Anastomosis leakage were analyzed.Result: In the total numbers of 369 cases, 12 cases were cancer positive LNs at the root of IMA despite 349 harvested LNs. On another hand, just one case showed LCA positive LNs obliviously because just 12 cases were had harvested LNs at the root of LCA. where Two cases of leakage were seen in both groups over a three-month follow-up. Conclusions: This result signifies the importance of IMA root LNs clearance and concern of high ligation. However, the small number of cases demand further well-designed RCTs to make an evidence-based decision. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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