Liu FC, Song JN, Yang YC, Zhang ZT. Preservation of left colic artery in laparoscopic colorectal operation: The benefit challenge. World J Gastrointest Surg 2023; 15(5): 825-833 [PMID: 37342851 DOI: 10.4240/wjgs.v15.i5.825]
Corresponding Author of This Article
Zhong-Tao Zhang, Doctor, Chief Doctor, General Surgery, Beijing Friendship Hospital, Capital Medical University, No. 95 Yongan Road, Xicheng District, Beijing 100050, China. zhangzht@ccmu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
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World J Gastrointest Surg. May 27, 2023; 15(5): 825-833 Published online May 27, 2023. doi: 10.4240/wjgs.v15.i5.825
Table 1 Comparison of the patients’ preoperative clinical data
Group
High ligation group, n = 46
Low ligation group, n = 148
P value
Sex as male/female
28/18
90/58
0.897
Age in yr, mean ± SD
58.3 ± 10.1
60.4 ± 9.4
0.645
Tumor site
0.178
Sigmoid colon
16
46
-
Recto-sigmoid junction
13
34
-
Upper rectum
10
39
-
Lower rectum
7
29
-
Table 2 Surgical data
Variable
High ligation group, n = 46
Low ligation group, n = 148
P value
Operative time in min, mean ± SD
210.0 ± 34.2
232.0 ± 28.3
0.482
Blood loss in mL, mean ± SD
145.0 ± 30.3
187.0 ± 50.3
0.165
Patients with positive lymph nodes, n
20
60
0.854
Number of lymph nodes dissected, mean
17.4
15.9
0.203
Patients with positive lymph nodes in the root of the inferior mesenteric artery, D253
2
5
0.372
Time to recovery of bowel function in d, mean ± SD
5.0 ± 1.8
3.0 ± 1.2
0.042
Table 3 Comparison of postoperative complications, n (%)
Complication
High ligation group, n = 46
Low ligation group, n = 148
P value
Number of complications
12 (26)
26 (186)
0.436
Wound infection
4 (9)
13 (9)
0.286
Stress ulcers
2 (4)
6 (4)
0.316
Anastomotic fistula and stricture
3 (7)
5 (3)
0.045
Urinary dysfunction
3 (7)
2 (1)
0.029
Table 4 Postoperative recurrence
Recurrence site
High ligation group, n = 46
Low ligation group, n = 148
P value
Overall recurrence rate
11 (24%)
32 (21%)
0.607
Liver
3
9
-
Lung
4
11
-
Lymph nodes
2
6
-
Local recurrence (intestinal tract)
0
2
-
Peritoneum
2
4
-
Citation: Liu FC, Song JN, Yang YC, Zhang ZT. Preservation of left colic artery in laparoscopic colorectal operation: The benefit challenge. World J Gastrointest Surg 2023; 15(5): 825-833