Evidence map›Paper›PMID 39924496›Full record

ArticleWorld journal of surgical oncology2025

Priority dissecting of the inferior mesenteric artery combined with complete medial approach: a novel laparoscopic approach for left-sided colon cancers.

Yuhan Wang, Gang Hu, Bin Tang, Wenlong Qiu, Shiwen Mei, Bo Li, Zhiwen Yang, Jianqiang Tang

Abstract read
In one paragraph

Article in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yuhan Wang *Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021, China.
Gang Hu *Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021, China.
Bin Tang *The First Department of General Surgery, Xiangtan Central Hospital of Hunan Province , Xiangtan, Hunan Province, China.
Wenlong QiuDepartment of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021, China.
Shiwen MeiDepartment of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021, China.
Bo LiDepartment of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021, China.
Zhiwen YangDepartment of Colorectal Surgery, The Third People's Hospital of Datong, Datong City, Shanxi Province, China. yangchuanzhe@163.com.
Jianqiang TangDepartment of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021, China. doc_tjq@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the application effect of the technique of "priority dissecting of the inferior mesenteric artery combined with complete medial approach (IMA-CMA)" in laparoscopic left-sided colon cancer radical resection.

methodsA total of 99 patients who underwent laparoscopic left-sided colon cancer radical resection with splenic flexure mobilization between September 2021 to May 2023 were included. Sixty-eight of these patients were analyzed after propensity score matching (PSM). The perioperative characteristics were compared.

resultsAmong these enrolled patients, 45 underwent the traditional approach, and 54 underwent IMA-CMA approach. After PSM, the patients were matched to include 34 patients in each group, with no significant differences in the sex (p = 0.618) or location of tumor (p = 0.798) between the two groups. The patients in IMA-CMA group had shorter operating time (p = 0.032), less intraoperative blood loss (p = 0.003), a higher number of harvested lymph nodes (p = 0.044) and center group lymph nodes(p = 0.037), and a shorter postoperative hospital stay (p = 0.011). Number of positive lymph nodes and postoperative complications were not significantly different between the two groups.

conclusionsThe technique of IMA-CMA for splenic flexure mobilization is safe and feasible. It can reduce operating time, intraoperative blood loss and postoperative hospital stay, which is conducive to achieving a thorough D3 lymphadenectomy without increasing the incidence of perioperative complications.

Indexed as

ColectomyColonic NeoplasmsLaparoscopyMesenteric Artery, InferiorAgedBlood Loss, SurgicalFemaleFollow-Up StudiesHumansLength of StayLymph Node ExcisionMaleMiddle AgedOperative TimePostoperative ComplicationsPrognosisComplete medial approachLaparoscopic colon cancer radical resectionLeft-sided colon cancerPriority dissecting of the inferior mesenteric arterySplenic flexure mobilization

Identifiers

PMID39924496
PMCPMC11809094

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.