Effects of Inferior Mesenteric Artery Preservation in Laparoscopic Colorectal Resection for Diverticular Disease.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-01

Study Completion Date

2024-01-20

Brief Summary

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This is a prospective randomized study aimed to verifying the short and long-term results of inferior mesenteric artery preservation following colorectal resection for diverticular disease

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Detailed Description

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This study wants to demonstrate that the preservation of the inferior mesenteric artery allow to improve postoperative defecatory function and improve patient\'s quality of life.

Conditions

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Colonic Diverticuar Disease Defecatory Functions Fecal Incontinence Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Inferior mesenteric artery preservation

Performing colorectal resection for diverticular disease the IMA was preserved ligating the sigmoids arteries close to colonic wall.

Group Type EXPERIMENTAL

IMA preserving

Intervention Type PROCEDURE

Performing left hemicolectomy, sigmoidectomy or rectal resection the IMA was preserved ligating the sigmoids arteries close to the colonic wall

Inferior mesenteric ligation

Performing colorectal resection the IMA was sectioned just below the origin of left colic artery.

Group Type ACTIVE_COMPARATOR

IMA sectioning

Intervention Type PROCEDURE

Performing left emicolectomy, sigmoidectomy or rectal resection the IMA is sectioned after the origin of left colic artery.

Interventions

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IMA preserving

Performing left hemicolectomy, sigmoidectomy or rectal resection the IMA was preserved ligating the sigmoids arteries close to the colonic wall

Intervention Type PROCEDURE

IMA sectioning

Performing left emicolectomy, sigmoidectomy or rectal resection the IMA is sectioned after the origin of left colic artery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* BMI \< 35
* ASA I-III
* Hinchey I-III

Exclusion Criteria

* BMI \> 35
* ASA IV
* Hinchey IV
* Previous procedures that could have been modified the nervous mesenteric pattern (surgery, radiotherapy or chemotherapy)

Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No