{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:01:28Z","timestamp":1703462488143},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2004,3,17]],"date-time":"2004-03-17T00:00:00Z","timestamp":1079481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Poor visualization and restricted access often make tumor lesions in the lower rectum difficult to excise, particularly in a narrow male pelvis. The aim of this study was therefore to study whether (and if so to what extent) different positions of the patient on the operating table might improve accessibility. Twenty consecutive patients (men and women) undergoing laparotomy with surgery of the lower rectum were studied. The geometric configuration of the pelvis was studied and compared on lateral radiographs obtained at the operating table in each of four positions. Compared with the conventional lithotomy position, the thighs\u2010flat\u201d position caused significant extension movement of the lumbosacral joint. Augmentation of the lumbar lordosis widened the pelvic view and enabled a more vertical view of the lower rectum (27.5 degrees in lithotomy position, 13.0 degrees in the thighs\u2010flat position). Insertion of a \u201clumbar pad\u201c contributed further to the augmentation (7 degrees). When compared on radiographic studies, the thighs\u2010flat position is preferable to the conventional lithotomy position in terms of facilitating low rectal surgery by improving both visibility and accessibility to the pelvic cavity.<\/jats:p>","DOI":"10.1007\/s00268-003-7305-0","type":"journal-article","created":{"date-parts":[[2004,4,19]],"date-time":"2004-04-19T12:45:19Z","timestamp":1082378719000},"page":"416-419","source":"Crossref","is-referenced-by-count":4,"title":["\u201cOn Table\u201d Positioning for Optimal Access for Cancer Excision in the Lower Rectum"],"prefix":"10.1002","volume":"28","author":[{"given":"Koutarou","family":"Maeda","sequence":"first","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine 1\u201098 Kutsukake 470\u20101192 Toyoake, Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morito","family":"Maruta","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine 1\u201098 Kutsukake 470\u20101192 Toyoake, Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harunobu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine 1\u201098 Kutsukake 470\u20101192 Toyoake, Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Masumori","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine 1\u201098 Kutsukake 470\u20101192 Toyoake, Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Aoyama","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine 1\u201098 Kutsukake 470\u20101192 Toyoake, Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,3,17]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"47","volume-title":"Rob & Smith\u2019s Operative Surgery: Surgery of the Colon, Rectum and Anus","author":"Ross TM","year":"1993"},{"key":"e_1_2_7_3_2","first-page":"456","volume-title":"Rob & Smith\u2019s Operative Surgery: Surgery of the Colon, Rectum and Anus","author":"Heald RJ","year":"1993"},{"key":"e_1_2_7_4_2","first-page":"598","volume-title":"Principles and Practice of Surgery for the Colon, Rectum and Anus","author":"Gordon PH","year":"1992"},{"key":"e_1_2_7_5_2","first-page":"442","volume-title":"Surgery of the Colon & Rectum","author":"Nicholls RJ","year":"1997"},{"key":"e_1_2_7_6_2","first-page":"958","volume-title":"Surgery of the Anus, Rectum and Colon","author":"Williams NS","year":"1993"},{"key":"e_1_2_7_7_2","first-page":"595","volume-title":"Cancer of the Colon, Rectum, and Anus","author":"Schrock TR","year":"1995"},{"key":"e_1_2_7_8_2","first-page":"1119","volume-title":"Maingot\u2019s Abdominal Operations","author":"Fry RD","year":"1990"},{"key":"e_1_2_7_9_2","first-page":"619","volume-title":"Surgery of the Anus Rectum and Colon","author":"Goligher J","year":"1984"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)61615-X"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.5833\/jjgs.29.1964"},{"key":"e_1_2_7_12_2","first-page":"268","volume-title":"Grant\u2019s Method of Anatomy","author":"Basmajian JV","year":"1975"},{"key":"e_1_2_7_13_2","first-page":"511","volume-title":"Gray\u2019s Anatomy","author":"Soames RW","year":"1999"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-003-7305-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-003-7305-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-003-7305-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T09:51:23Z","timestamp":1703411483000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-003-7305-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,3,17]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,4]]}},"alternative-id":["10.1007\/s00268-003-7305-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-003-7305-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,3,17]]}}}