Early term results of the left colic artery preservation in colorectal cancer surgery

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dc.contributor.authorKaplan, Kuntay
dc.contributor.authorGökler, Cihan
dc.contributor.authorBağ, Yusuf Murat
dc.contributor.authorCengiz, Emrah
dc.contributor.authorSümer, Fatih
dc.contributor.authorAydın, Cemalettin
dc.contributor.authorKayaalp, Cüneyt
dc.date.accessioned2024-08-04T19:53:14Z
dc.date.available2024-08-04T19:53:14Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Colorectal cancer is a common type of cancer that causes significant morbidity and mortality. Post-resection anastomosis safety is important. The most important factor affecting anastomosis safety is blood accumulation in the anastomosis. In this study, we aimed to examine the early-term results of the preservation of the left colic artery (LCA) during laparoscopic anterior and low anterior resection (LAR) for the treatment of rectum and sigmoid colon cancers based on our clinical experience. Materials and Methods: A total of 192 archive files that were operated for rectum and sigmoid colon cancer in our center between April 2019 and October 2022 were reviewed retrospectively. The patients were diagnosed using colonoscopy and biopsy during the pre-operative period. The patients and their results were discussed in the oncology council, and the patients’ treatment plans were formed based on the council’s decision. Results: The patients’ mean age was 65.4±9.33 years and nearly half of them were males (n=8, 53.3%). Of the patients, 12 (80%) of them underwent LAR, while three patients (20%) underwent AR. The mean duration of surgery was 322.66±101.8 min, while the median bleeding amount was 50 (20–150) cc. One patient (6.7%) required reoperation due to an anastomotic leak, and abscess drainage was performed using the transanal method. No mortality was observed in patients at 30 days. Conclusion: In our study, the low ligation (LL) and LCA were preserved during laparoscopic AR and LARs for rectum and sigmoid colon cancers, preserving blood accumulation in the anastomosis. However, multi-center prospective randomized controlled studies are required to demonstrate whether LL significantly reduces anastomotic leaks.en_US
dc.identifier.doi10.14744/less.2022.37790
dc.identifier.endpage204en_US
dc.identifier.issn2587-0610
dc.identifier.issue4en_US
dc.identifier.startpage200en_US
dc.identifier.trdizinid1171574en_US
dc.identifier.urihttps://doi.org/10.14744/less.2022.37790
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1171574
dc.identifier.urihttps://hdl.handle.net/11616/89577
dc.identifier.volume29en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofLaparoscopic Endoscopic Surgical Scienceen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleEarly term results of the left colic artery preservation in colorectal cancer surgeryen_US
dc.typeArticleen_US

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