DOI: http://dx.doi.org/10.18203/2349-2902.isj20205920

The difference between preserving and non-preserving left colonic artery for low rectal cancer: a meta-analysis

Zakari Shaibu, Zhihong Chen

Abstract


Abstract
Object: The aim of this study is to compare the superiority and safety of preserving and non-preserving left colonic artery.
Method: PubMed, Google scholar and Medline were searched for eligible studies between 1965 to 2018. Operative time, blood loss, number of resected lymph nodes, anastomotic leakage, and ileus, and morbidity, hospital length of stay, wound infection and mortality were the main outcome study.
Result: 23 studies involving 10,644 patients were included in the analyses. Compared with the preserving approach, the non-preserving approach had less operative time (weighted mean difference [WMD]=9.37 min, 95% CI [8.92,9.81], p<0.01), less blood loss (weighted mean difference [WMD]=8.28, 95% CI [7.43,9.13], p<0.01), and preserving approach had shorter duration of hospital stay (WMD=−2.84 days, 95% CI [−5.49,-0.19], p<0.06) and also anastomotic leakage(WMD=0.79 , 95% CI [0.67,0.95], p<0.54). No other significant differences were observed.
Conclusion: Preserving left colonic artery proves to be safer and more feasible as compared to the non-preserving left colonic artery in terms of anastomotic leakage and hospital length of stay. Non-preserving left colonic artery proved to have less operative time and blood loss, because most of the surgery was done laparoscopically.

Keywords


Preservation, Non-preservation, Low tie, High tie, Colorectal cancer, Neoplasm, Inferior mesenteric artery

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References


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