{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T11:19:25Z","timestamp":1781522365597,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:00:00Z","timestamp":1717545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Intracorporeal anastomosis (IA) is becoming increasingly popular and replacing extracorporeal anastomosis (EA) for reconstruction in laparoscopic and robotic surgery for right\u2010sided colon cancer (LSRCC). Intracorporeal overlap anastomosis (IOA) is the most widely used IA technique. This study aimed to examine the safety of IOA by investigating its short\u2010term results during the implementation phase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This multicenter prospective cohort study was conducted by the Kanagawa Yokohama Colorectal Cancer (KYCC) Study Group. Patients with stage 1\u20133 colon cancer who planned to undergo LSRCC with IOA reconstruction were eligible. The incidence of anastomotic leakage (AL) of Clavien\u2013Dindo (C\u2013D) grade \u22653 was evaluated as the primary endpoint, and other surgical outcomes and postoperative complications of C\u2013D grades \u22652 were the secondary endpoints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 127 patients were enrolled, of whom 120 were finally analyzed. The incidence of C\u2013D grade \u22652 complications was 8.3%. The incidence of C\u2013D grade \u22653 AL was 0.8%. This trend was lower than that reported in previous randomized controlled trials (RCTs) and acceptable. Additionally, 1.7% of the patients developed abdominal abscesses, and no cases of anastomotic stenosis were observed. The median operative time was 257\u2009min, and the reconstruction procedure required 32\u2009min. Stapler closure of the enterotomy and facility experience of more than 30 cases were associated with a shorter reconstruction time during IOA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IOA is feasible and can be safely performed during the implementation phase in patients undergoing LSRCC.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ags3.12831","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T07:54:41Z","timestamp":1717574081000},"page":"836-844","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multicenter prospective study on anastomotic leakage after right\u2010sided colon cancer surgery with laparoscopic intracorporeal overlap anastomosis (<scp>KYCC<\/scp> 2101)"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8155-8561","authenticated-orcid":false,"given":"Keisuke","family":"Kazama","sequence":"first","affiliation":[{"name":"Department of Surgery Yokohama City University  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masakatsu","family":"Numata","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Yokohama City University Medical Center  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Mushiake","sequence":"additional","affiliation":[{"name":"Department of Surgery Saiseikai Yokohama City Nanbu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiro","family":"Sugano","sequence":"additional","affiliation":[{"name":"Department of Surgery Hiratsuka Kyosai Hospital  Hiratsuka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teni","family":"Godai","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujisawa Shounandai Hospital  Fujisawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Yokohama Minami Kyosai Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsushi","family":"Ishiguro","sequence":"additional","affiliation":[{"name":"Department of Surgery Yokohama City University  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Atsumi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Yokohama City University Medical Center  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoru","family":"Shinoda","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Medicine Yokohama City University  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Surgery Yokohama City University  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01735.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(05)70221-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(16)30207-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12718"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12694"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-022-04107-9"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znad077"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11389"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003519"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-023-04445-2"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000485"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-020-02108-1"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01290-9"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08780-9"},{"key":"e_1_2_12_17_1","volume-title":"TNM classification of malignanttumours","author":"James DB","year":"2017"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-019-01485-z"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.23922\/jarc.2019-018"},{"key":"e_1_2_12_21_1","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2023"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-020-02112-2"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.02.059"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-017-2840-6"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15232"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v23.i36.6726"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06834-0"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12381"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010015\u20104395\u20103"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-06796-w"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000160"}],"container-title":["Annals of Gastroenterological Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ags3.12831","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T01:22:41Z","timestamp":1725326561000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ags3.12831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,5]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/ags3.12831"],"URL":"https:\/\/doi.org\/10.1002\/ags3.12831","archive":["Portico"],"relation":{},"ISSN":["2475-0328","2475-0328"],"issn-type":[{"value":"2475-0328","type":"print"},{"value":"2475-0328","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,5]]},"assertion":[{"value":"2024-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}