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The aim of the study is to evaluate the anorectal function after hemicolectomy if we preserve or not the Inferior Mesenteric Artery (IMA). This study wants to demonstrate that IMA preservation could improve patient's quality of life reducing incontinence and/or constipation rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Inferior Mesenteric Artery Preservation | Experimental | Performing left hemicolectomy the IMA was preserved ligating close to the colonic wall the sigmoids arteries. |
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| Inferior Mesenteric Artery Ligation | Active Comparator | Performing left hemicolectomy the IMA is ligated and sectioned after the origin of left colic artery |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Inferior Mesenteric Artery Preservation | Procedure | Performing left hemicolectomy the IMA was preserved ligating close to the colonic wall the sigmoids arteries. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from preoperative time in anorectal function | We evaluate the presence of modification in anorectal function respect to the preoperative time. This is assessed with specific questionnnaires and anorectal manometry | 6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Constipation | We evaluate with a questionnaire (Constipation scoring system) the presence of postoperative constipation | 6 and 12 months |
| Incontinence | We evaluate with a questionnaire (Continence scale), anorectal manometry and eventually with endoanal ultrasonography the precence of incontinence |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Ospedaliera Sant'Andrea | Rome | Italy | 00188 | Italy |
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| Inferior Mesenteric Artery Ligation | Procedure | Performing left hemicolectomy the IMA is ligated and sectioned after the origin of left colic artery |
|
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| 6 and 12 months |
| Quality of life | We evaluate with SF-36 questionnaire the postoperative quality of life | 6 and 12 months |
| Postoperative complication | We evaluate the presence of postoperative complication such as anastomotic leakage, anastomotic stricture, pneumonia etc. | 1 month |