{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:21:19Z","timestamp":1762917679245},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T00:00:00Z","timestamp":1466553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T00:00:00Z","timestamp":1466553600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In sigmoid cancer, both inferior mesenteric artery high or low ligations are accepted for curative purposes. Since inferior mesenteric artery ligation could compromise blood flow to the anastomosis, potentially increasing anastomotic leakage onset, real oncological benefits and possible disadvantages related to vascular transection level are still on debate. We introduce totally laparoscopic inferior mesenteric artery peeling technique to release from the concept of lymph nodal harvesting linked to arterial transection level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over a period of 24\u00a0months, 31 patients presenting with sigmoid cancer were submitted to laparoscopic sigmoidectomy associated with inferior mesenteric artery peeling. Data on intraoperative and postoperative outcomes have been prospectively collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean operative time was 180\u00a0min (range 110\u2013330\u00a0min); mean intraoperative blood loss was 60\u00a0ml (range 30\u2013150\u00a0ml), and mean postoperative hospitalization was 6.2\u00a0days (range 4\u201311\u00a0days). Mean number of lymph node harvested was 16.7 (range 12\u201328).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Given a proper selection of patients, laparoscopic sigmoidectomy comprehensive of sub\u2010adventitial IMA skeletonization from its aortic origin could provide good oncological outcomes and recanalization rate. Further data are advocated to confirm these preliminary results.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3611-1","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T11:11:36Z","timestamp":1466680296000},"page":"2790-2795","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Laparoscopic Inferior Mesenteric Artery Peeling: An Alternative to High or Low Vascular Ligation for Sigmoid Colon Cancer Resection"],"prefix":"10.1002","volume":"40","author":[{"given":"Elisa","family":"Francone","sequence":"first","affiliation":[{"name":"Department of Surgery S. Andrea Hospital POLL\u2010ASL5, Via Vittorio Veneto 197 19100 La Spezia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierfrancesco","family":"Bonfante","sequence":"additional","affiliation":[{"name":"Department of Surgery S. Andrea Hospital POLL\u2010ASL5, Via Vittorio Veneto 197 19100 La Spezia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Santina","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of Surgery S. Andrea Hospital POLL\u2010ASL5, Via Vittorio Veneto 197 19100 La Spezia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donatella","family":"Intersimone","sequence":"additional","affiliation":[{"name":"Department of Pathological Anatomy S. Andrea Hospital POLL\u2010ASL5, Via Vittorio Veneto 197 19100 La Spezia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilio","family":"Falco","sequence":"additional","affiliation":[{"name":"Department of Surgery S. Andrea Hospital POLL\u2010ASL5, Via Vittorio Veneto 197 19100 La Spezia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Berti","sequence":"additional","affiliation":[{"name":"Department of Surgery S. Andrea Hospital POLL\u2010ASL5, Via Vittorio Veneto 197 19100 La Spezia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,22]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"General rules for clinical and pathological studies on cancer of the colon, rectum and anus","author":"Japanese Society for Cancer of the Colon and Rectum","year":"1998"},{"key":"e_1_2_7_3_2","unstructured":"National Comprehensive Cancer Neywork NCCN(2016)Clinical Practice in Oncology: Colon Cancer. 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