Details

Autor(en) / Beteiligte

• Tsarkov, Petr
• Garmanova, Tatiana
• Zhurkovskiy, Victor
• Markaryan, Daniil
• Sidorova, Lyudmila
• Picciariello, Arcangelo
• Kazachenko, Ekaterina
• Tulina, Inna

Titel

Selective sPlenic flExure mobilization for low colorEctal anastomosis after D3 lYmph node dissection (SPEEDY) trial: a study protocol

Ist Teil von

• Chinese medical journal, 2020-08, Vol.133 (15), p.1884-1885

Ort / Verlag

China: Lippincott Williams & Wilkins Ovid Technologies

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• To the Editor: Colorectal cancer (CRC) remains the second most frequent cause of cancer-related deaths worldwide. Since the concept of total mesorectal excision (TME) introduced by Heald et al[1] has become a gold standard of rectal cancer surgery, there has been a significant improvement in oncological outcomes including disease-free and overall survival. SFM is a time-consuming component of LAR with the additional risk of iatrogenic splenic injury and maybe technically challenging during laparoscopic resection. [...]we planned the prospective randomized trial to compare the anastomotic leak (AL) rate between low IMA ligation with selective SFM and high IMA tie with routine SFM groups (trial registration: www.ClinicalTrials.gov, NCT03895255). [...]comparing the rate of complications between the two groups may allow concluding whether low IMA tie with selective SFM can be safely implemented if the proximal colon stump length is sufficient to perform anastomosis without tension.