{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:42:43Z","timestamp":1773268963777,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1992,7,1]],"date-time":"1992-07-01T00:00:00Z","timestamp":709948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1992,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The effects of two methods of colonic vascular ligation were studied in 143 consecutive patients who underwent low anterior resection with total mesorectal excision and full mobilization of the splenic flexure. Either the ascending left colic artery (ALCA) was selectively preserved (n = 52) or a flush aortic ligation was performed (n = 91). In those with a protective colostomy, the radiological leak rate was 12 per cent when the ALCA was preserved (n = 41) and 10 per cent when a flush aortic tie was performed (n = 60) (P &amp;gt; 0.95; 95 per cent confidence interval (c.i.) for difference \u221210 to + 15 per cent). In those without a colostomy, the clinical leak rates of 9 per cent when the ALCA was preserved (n = 11) and 19 per cent when a flush aortic tie was performed (n = 31) were not significantly different (P &amp;gt; 0.10; 95 per cent c.i. for difference \u221212 to + 32 per cent). Proportional hazards analysis showed no association between the method of vascular ligation and the risk of tumour recurrence and death. Anastomotic leak rates, tumour recurrence and survival were not related to the method of vascular ligation.<\/jats:p>","DOI":"10.1002\/bjs.1800790730","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:05:21Z","timestamp":1172941521000},"page":"680-682","source":"Crossref","is-referenced-by-count":70,"title":["Flush aortic tie <i>versus<\/i> selective preservation of the ascending left colic artery in low anterior resection for rectal carcinoma"],"prefix":"10.1093","volume":"79","author":[{"given":"A P","family":"Corder","sequence":"first","affiliation":[{"name":"Colorectal Research Unit, Basingstoke District Hospital , Basingstoke,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N D","family":"Karanjia","sequence":"additional","affiliation":[{"name":"Colorectal Research Unit, Basingstoke District Hospital , Basingstoke,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J D","family":"Williams","sequence":"additional","affiliation":[{"name":"Medical Statistics and Computing, University of Southampton, Southampton General Hospital , Southampton,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Heald","sequence":"additional","affiliation":[{"name":"Colorectal Research Unit, Basingstoke District Hospital , Basingstoke,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1992,7,1]]},"reference":[{"key":"2024092811123040600_bib1","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1016\/S0140-6736(86)91510-2","article-title":"Recurrence and survival after total mesorectal excision for carcinoma","volume":"ii","author":"Heald","year":"1986","journal-title":"Lancet"},{"key":"2024092811123040600_bib2","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/BF02586714","article-title":"Sump suction and irrigation of the presacral space","volume":"21","author":"Fazio","year":"1978","journal-title":"Dis Colon Rectum"},{"key":"2024092811123040600_bib3","first-page":"241","article-title":"Surgical anatomy of the blood supply of the distal colon","volume":"19","author":"Griffiths","year":"1956","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092811123040600_bib4","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/j.2517-6161.1972.tb00899.x","article-title":"Regression models and life tables (with discussion)","volume":"34","author":"Cox","year":"1972","journal-title":"J R Stat Soc B"},{"key":"2024092811123040600_bib5","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1002\/bjs.1800570208","article-title":"Anastomotic dehiscence after anterior resection of the rectum and sigmoid","volume":"57","author":"Goligher","year":"1970","journal-title":"Br J Surg"},{"key":"2024092811123040600_bib6","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1002\/bjs.1800770607","article-title":"High versus low ligation of the inferior mesenteric artery in rectal cancer","volume":"77","author":"Surtees","year":"1990","journal-title":"Br J Surg"},{"key":"2024092811123040600_bib7","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1002\/bjs.1800691019","article-title":"The mesorectum in rectal cancer surgery - the clue to pelvic recurrence?","volume":"69","author":"Heald","year":"1982","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800790730","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/7\/680\/59398207\/bjs1800790730.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/7\/680\/59398207\/bjs1800790730.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T11:12:41Z","timestamp":1727521961000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/79\/7\/680\/6173260"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,7,1]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[1992,7,1]]},"published-print":{"date-parts":[[1992,7,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800790730","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1992,7]]},"published":{"date-parts":[[1992,7,1]]}}}