Exploring the potential appropriateness of high ligation for a specific demographic

Wang, Xiaojie; Wang, Yangyang; Zou, Jinhai; Zheng, Zhifang; Huang, Ying; Chi, Pan

doi:10.1016/j.ejso.2023.106999

Cited by 1 publication

(1 citation statement)

References 5 publications

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“…The study found no significant differences in the distant recurrence rate (15.8% vs. 18.9%; p = 0.970), pelvic recurrence rate (4.9% vs. 3.2%; p = 0.843), 5-year OS (80.8% vs. 81.9%; p = 0.545), and DFS (79.2% vs. 78%; p = 0.985) between the HTL and LTL, respectively [ 84 ]. Despite its randomized controlled design, the study exhibits several limitations, particularly in terms of the potential influence of preoperative treatments and the precise documentation of the locations of local or distant recurrence within both the HTL and LTL groups [ 85 ]. Additionally, since the sample size calculation was primarily tailored for evaluating GU rather than oncological outcomes, the study may be underpowered.…”

Section: The Surgeon- and Patient-centric Approach: The Different Lev...mentioning

confidence: 99%

Inferior Mesenteric Artery Ligation Level in Rectal Cancer Surgery beyond Conventions: A Review

Brillantino,

Skokowski,

Ciarleglio

et al. 2023

Cancers

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Within the intricate field of rectal cancer surgery, the contentious debate over the optimal level of ligation of the inferior mesenteric artery (IMA) persists as an ongoing discussion, influencing surgical approaches and patient outcomes. This narrative review incorporates historical perspectives, technical considerations, and functional as well as oncological outcomes, addressing key questions related to anastomotic leakage risks, genitourinary function, and oncological concerns, providing a more critical understanding of the well-known inconclusive evidence. Beyond the dichotomy of high versus low tie, it navigates the complexities of colorectal cancer surgery with a fresh perspective, posing a transformative question: “Is low tie ligation truly reproducible?” Considering a multidimensional approach that enhances patient outcomes by integrating the surgeon, patient, technique, and technology, instead of a rigid and categorical statement, we argued that a balanced response to this challenging question may require compromise.

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Section: The Surgeon- and Patient-centric Approach: The Different Lev...mentioning

confidence: 99%

Inferior Mesenteric Artery Ligation Level in Rectal Cancer Surgery beyond Conventions: A Review

Brillantino,

Skokowski,

Ciarleglio

et al. 2023

Cancers

View full text Add to dashboard Cite

show abstract

Exploring the potential appropriateness of high ligation for a specific demographic

Cited by 1 publication

References 5 publications

Inferior Mesenteric Artery Ligation Level in Rectal Cancer Surgery beyond Conventions: A Review

Inferior Mesenteric Artery Ligation Level in Rectal Cancer Surgery beyond Conventions: A Review

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