High tie versus low tie of the inferior mesenteric artery: a protocol for a systematic review

Roberto Cirocchi, Eriberto Farinella, Stefano Trastulli, Jacopo Desiderio, Giorgio Di Rocco, Piero Covarelli, Alberto Santoro, Giammario Giustozzi, Adriano Redler, Nicola Avenia, Antonio Rulli, Giuseppe Noya, Carlo Boselli

In anterior resection of rectum, the section level of inferior mesenteric artery is still subject of controversy between the advocates of high and low tie. The low tie is the division and ligation to the branching of the left colic artery and the high tie is the division and ligation at its origin at the aorta. We intend to assess current scientific evidence in literature and to establish the differences comparing technique, anatomy and physiology. The aim of this protocol is to achieve a meta-analysis that tests safety and feasibility of the two procedures with several types of outcome measures.