Laparoscopic D3 lymph node dissection with left colic artery and first sigmoid artery preservation in rectal cancer.

ABSTRACT:

Background

D3 lymph node dissection with left colic artery (LCA) preservation in rectal cancer surgery seems to have little effect on reducing postoperative anastomotic leakage. So we first propose D3 lymph node dissection with LCA and first sigmoid artery (SA) preservation. This novel procedure deserves further study.

Methods

Rectal cancer patients who underwent laparoscopic D3 lymph node dissection with LCA preservation or with LCA and first SA preservation between January 2017 and January 2020 were retrospectively assessed. The patients were categorized into two groups: the preservation of the LCA group and the preservation of the LCA and first SA group. A 1:1 propensity score-matched analysis was performed to decrease confounding.

Results

Propensity score matching

SUBMITTER: Huang X 

PROVIDER: S-EPMC9987132 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature