| ○種別 (必須): | □ | 学術論文 (紀要その他)
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| ○言語 (必須): | □ | 英語
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| ○カテゴリ (推奨): |
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| ○学究種別 (推奨): |
| ○組織 (推奨): |
| ○著者 (必須): | 1. | 東島 潤
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| 2. | (英) Kono Toru (日) (読)
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| 3. | 島田 光生 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.消化器・移植外科学])
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| 4. | (英) Sugitani Ayumu (日) (読)
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| 5. | 柏原 秀也 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.外科.消化器・移植外科])
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| 6. | 髙須 千絵 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.消化器・移植外科学])
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| 7. | 西 正暁 ([徳島大学.大学院医歯薬学研究部.医学域.連携研究部門(医学域).寄附講座系(医学域).実践地域診療・医科学])
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| 8. | 徳永 卓哉 ([徳島大学.病院.中央診療施設等.地域外科診療部])
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| 9. | 吉川 幸造
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| ○題名 (必須): | □ | (英) High Ligation of the Inferior Mesenteric Artery Induces Hypoperfusion of the Sigmoid Colon Stump During Anterior Resection. (日)
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| ○要約 (任意): | □ | (英) Anastomotic leakage (AL) after colorectal surgery is associated with insufficient vascular perfusion of the anastomotic ends. This study aimed to evaluate the effect of high vs. low ligation of the ileocolic artery and inferior mesenteric artery, respectively, on the vascular perfusion of the bowel stumps during ileocecal resection (ICR) and anterior rectal resection (AR). We retrospectively evaluated patients who underwent ICR or AR between 2016 and 2020. Real-time indocyanine green fluorescence angiography was performed to measure the fluorescence time (FT) as a marker of the blood flow in the proximal and distal stumps before anastomosis. Thirty-four patients with lower right-sided colon cancer underwent laparoscopic ICR. Forty-one patients with rectosigmoid colon or rectal cancer underwent robotic high AR (HAR) ( = 8), robotic low AR (LAR) ( = 6), laparoscopic HAR ( = 8), or laparoscopic LAR ( = 19). The FT was similar in the ileal and ascending colon stumps ( = 1.000) and did not differ significantly between high vs. low ligation of the ileocolic artery ( = 0.934). The FT was similar in the sigmoid colon and rectal stumps ( = 0.642), but high inferior mesenteric artery ligation significantly prolonged FT in the sigmoid colon during AR compared with low ligation ( = 0.004), indicating that the high ligation approach caused significant hypoperfusion compared with low ligation. The AL rate was similar after low vs. high ligation. Low vascular perfusion of the bowel stumps may not be an absolute risk factor for AL. High inferior mesenteric artery ligation could induce sigmoid colon stump hypoperfusion during anterior rectal resection. (日)
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| ○キーワード (推奨): |
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| ○誌名 (必須): | □ | Frontiers in Surgery (Frontiers Media S.A.)
(eISSN: 2296-875X)
| ○ISSN (任意): | □ | 2296-875X
ISSN: 2296-875X
(eISSN: 2296-875X) Title: Frontiers in surgeryTitle(ISO): Front SurgPublisher: Frontiers Media SA (NLM Catalog)
(Scopus)
(CrossRef)
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| ○巻 (必須): | □ | 8
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| ○号 (必須): |
| ○頁 (必須): | □ | 756873 756873
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2021年 12月 13日 (令和 3年 12月 13日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.3389/fsurg.2021.756873 (→Scopusで検索)
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| ○PMID (任意): | □ | 34966775 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.3389/fsurg.2021.756873 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 3. | (英) KeywordList.Keyword: anastomotic leakage (日)
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| 4. | (英) KeywordList.Keyword: anterior rectal resection (日)
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| 5. | (英) KeywordList.Keyword: artery ligation (日)
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| 6. | (英) KeywordList.Keyword: hypoperfusion (日)
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| 7. | (英) KeywordList.Keyword: ileocecal resection (日)
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| 8. | (英) CoiStatement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (日)
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