Role of different ligation of the inferior mesenteric artery in sigmoid colon or rectal cancer surgery: a meta-analysis.
- Author:
Shi-cai CHEN
1
;
Xin-ming SONG
;
Zhi-hui CHEN
;
Ming-zhe LI
;
Yu-long HE
;
Wen-hua ZHAN
Author Information
- Publication Type:Journal Article
- MeSH: Humans; Mesenteric Artery, Inferior; surgery; Prognosis; Rectal Neoplasms; diagnosis; surgery; Sigmoid Neoplasms; diagnosis; surgery
- From: Chinese Journal of Gastrointestinal Surgery 2010;13(9):674-677
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the effect of different ligation of the inferior mesenteric artery in sigmoid colon or rectal cancer surgery on 5-year overall survival rate and operative mortality.
METHODSThe results of several literatures from different countries on high or low ligation of the inferior mesenteric artery and prognosis were analyzed using meta-analysis.
RESULTSSeven studies were included. The 5-year overall survival rate was compared between low and high ligation. The odd ratio (OR) for 5-year survival was 0.87 (95% CI=0.76-0.98, P=0.02), and the OR for perioperative mortality was 1.28 (95% CI=0.94-1.75, P=0.19).
CONCLUSIONSHigh ligation of the inferior mesenteric artery may improve 5-year overall survival rate. Perioperative mortality may not be influenced by the level of ligation.
