Why the study?
Does high tie of the inferior mesenteric artery improve survival or lymph node retrieval compared to low tie in patients undergoing curative surgery for left colonic and rectal cancers?
Population
7,649 patients undergoing curative resections for left colonic and rectal cancers across 16 studies
Comparison
High tie vs Low tie
Design
Systematic_review
Authors
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High tie supports better lymph node yield and staging accuracy; leaves open survival benefit in left-sided colorectal cancer surgery.
Does high tie of the inferior mesenteric artery improve survival or lymph node retrieval compared to low tie in patients undergoing curative surgery for left colonic and rectal cancers?
High tie of the inferior mesenteric artery during left colonic and rectal cancer surgery improves lymph node retrieval and staging accuracy, though it does not conclusively improve survival compared to low tie.
Titu et al. (2008) studied this question.
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