期刊
FUTURE ONCOLOGY
卷 19, 期 21, 页码 1485-1494出版社
FUTURE MEDICINE LTD
DOI: 10.2217/fon-2023-0475
关键词
laparoscopic anterior resection; left colic artery preservation; lower rectal cancer; oncological outcomes; surgical outcomes
类别
This study retrospectively analyzed 117 patients with lower rectal cancer who underwent laparoscopic anterior resection. It was found that preserving the left colic artery can reduce the incidence of anastomotic leakage without affecting surgical and oncological outcomes.
Background: To evaluate the safety and efficacy of left colic artery (LCA) preservation in laparoscopic anterior resection with D3 lymphadenectomy for lower rectal cancer. Methods: A total of 117 patients with lower rectal cancer who received laparoscopic anterior resection were retrospectively analyzed. Results: No differences were detected in terms of the numbers of harvested lymph nodes and metastatic lymph nodes, the intraoperative and postoperative complications or the postoperative recurrence and survival rates between the two groups (p > 0.05), but the LCA preservation group showed a lower anastomotic leakage rate than the LCA nonpreservation group (2/49 vs 12/68). Conclusion: LCA preservation may help reduce the incidence of anastomotic leakage without impairing surgical and oncological outcomes.
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