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논문 기본 정보

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학술저널
저자정보
Lee, Min Wan (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) 박성실 (국립암센터) Kiho You (Center for Colorectal Cancer, National Cancer Center) Lee Dong-eun (Biostatistics Collaboration Team, Research Institute, National Cancer Center, Goyang, Korea.) Dong Woon Lee (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) Park Sung-Chan (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) Han, Kyung Su (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) Sohn Dae Kyung (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) Hong, Chang Won (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) Kim, Bun (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center) Kim Byung Chang (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea) Chang Hee Jin (Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, KoreaDepartment of Pathology, Research Institute and Hospital, National Cancer Center, Goyang,) 김대용 (국립암센터) 오재환 (국립암센터)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy 제40권 제1호
발행연도
2024.2
수록면
62 - 73 (12page)
DOI
10.3393/ac.2023.00094.0013

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Purpose: This study aimed to evaluate the long-term clinical outcomes based on the ligation level of the inferior mesenteric artery (IMA) in patients with rectal cancer.Methods: This was a retrospective analysis of a prospectively collected database that included all patients who underwent elective low anterior resection for rectal cancer between January 2013 and December 2019. The clinical outcomes included oncological outcomes, postoperative complications, and functional outcomes. The oncological outcomes included overall survival (OS) and relapse-free survival (RFS). The functional outcomes, including defecatory and urogenital functions, were analyzed using the Fecal Incontinence Severity Index, International Prostate Symptom Score, and International Index of Erectile Function questionnaires.Results: In total, 545 patients were included in the analysis. Of these, 244 patients underwent high ligation (HL), whereas 301 underwent low ligation (LL). The tumor size was larger in the HL group than in the LL group. The number of harvested lymph nodes (LNs) was higher in the HL group than in the LL group. There were no significant differences in complication rates and recurrence patterns between the groups. There were no significant differences in 5-year RFS and OS between the groups. Cox regression analysis revealed that the ligation level (HL vs. LL) was not a significant risk factor for oncological outcomes. Regarding functional outcomes, the LL group showed a significant recovery in defecatory function 1 year postoperatively compared with the HL group.Conclusion: LL with LNs dissection around the root of the IMA might not affect the oncologic outcomes comparing to HL; however, it has minimal benefit for defecatory function.
#Rectal neoplasms #Inferior mesenteric artery #Survival #Anastomotic leakage #Functional outcomes

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