Short-term and long-term results of a randomized study comparing high tie and low tie inferior mesenteric artery ligation in laparoscopic rectal anterior resection: subanalysis of the HTLT (High tie vs. low tie) study.

Surgical Endoscopy
Shoichi FujiiItaru Endo

Abstract

In rectal anterior resection, a clear consensus regarding the optimal level of inferior mesenteric artery (IMA) ligation does not exist because of a lack of randomized trials. We conducted a randomized trial to determine if the IMA should be tied at the origin (high tie, HT) or distal to the left colic artery (low tie, LT) (HTLT study). This study is a subanalysis of HTLT study for laparoscopic surgery. All candidates were randomly divided into the HT or LT groups. The lymph node dissection around the origin of the IMA was performed in the LT group. The stratified factor was the approach (open or laparoscopy). Evaluation parameters were operative factors, short-term and long-term results. In the present study, laparoscopic surgeries were examined as subgroup analysis. From June 2006 to September 2012, 331 patients were registered. Two hundred and fifteen patients (107 for HT: 108 for LT) underwent laparoscopic surgeries. There was no difference between the groups in background. The incidence of anastomotic leakage (HT: LT %) showed no significant differences for grade 2 or higher (11.2:9.3), and grade 3 or higher (2.8:4.6). There were no differences in operative time (200:205 min), blood loss (15:15 ml), number of dissected lym...Continue Reading

References

Jun 1, 1990·The British Journal of Surgery·P SurteesR K Phillips
Sep 6, 2007·Digestive Surgery·Keisuke UeharaYoshihiro Moriya
May 17, 2008·Diseases of the Colon and Rectum·Marilyne M LangeJohan F Lange
Jul 18, 2009·International Journal of Colorectal Disease·Mark BuunenJohan F Lange
Jan 26, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Toshiyuki MoriMasaki Kitajima
Mar 30, 2011·International Journal of Colorectal Disease·Niels KomenJohan F Lange
Nov 1, 2011·The British Journal of Surgery·M RutegårdJ Rutegård
Mar 15, 2012·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S TsujinakaA Lefor
Apr 5, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nicholas P WestPhilip Quirke
Oct 12, 2012·Surgery Today·Jin-Ichi Hida, Kiyotaka Okuno
Jun 12, 2013·World Journal of Surgery·Hermann Kessler, Werner Hohenberger
Sep 24, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J GröneM E Kreis
Nov 4, 2015·Surgical and Radiologic Anatomy : SRA·A PatroniA Berger
Mar 25, 2016·The Indian Journal of Surgery·Ishwar CharanHarvindra Singh Kumar
Apr 3, 2016·World Journal of Surgical Oncology·Koji YasudaToshiaki Watanabe
Feb 18, 2017·Anesthesiology·BobbieJean Sweitzer

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Citations

Aug 8, 2019·Annals of Surgical Treatment and Research·Gyung Mo SonJun Woo Lee
Jul 13, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Wiesław Janusz KruszewskiJakub Walczak
Sep 30, 2021·Journal of Surgical Oncology·Marcus ValadãoAlexandre Ferreira Oliveira
Dec 14, 2018·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Wouter WillaertWim Ceelen

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