Role of Low Inferior Mesenteric Artery Ligation During Laparoscopic Surgery for Rectosigmoid Cancer

University of Roma La Sapienza

Status: Completed

Conditions: Rectosigmoid Adenocarcinoma

Treatments: Procedure: Laparoscopic colorectal resection

Study type: Observational

Funder types: Other

Identifiers

NCT03557528

14ur2018

Details and patient eligibility

About

During sigmoid or rectal cancer surgery, dissection of lymphnodes at the origin of inferior mesenteric artery is mandatory. Nevertheless, ligation of the origin of IMA should compromise blood supply to left colon and affect anastomosis. The aim of this retrospective evaluation is to compare high and low IMA ligation with preservation of LCA, with or without skeletonization of the origin of IMA in laparoscopic colorectal resection.

Enrollment: 120 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• stage I-III carcinoma

Exclusion criteria

• stage IV
• Urgent resection
• conversion to open surgery

Trial design

120 participants in 2 patient groups

Group 1

Description:

High Ligation of Inferior mesenteric artery

Treatment:

Procedure: Laparoscopic colorectal resection

Group 2

Description:

Low ligation of inferior mesenteric artery with skeletonization at its origin

Treatment:

Procedure: Laparoscopic colorectal resection