{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T04:40:05Z","timestamp":1709527205383},"reference-count":14,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T00:00:00Z","timestamp":1695168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T00:00:00Z","timestamp":1695168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T00:00:00Z","timestamp":1695168000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to compare intra\u2010 and extracorporeal division of the vascular pedicle in laparoscopic right colectomy regarding pathological outcomes, short\u2010term morbidity, and local recurrence and distant metastases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of an IRB\u2010approved database of all patients who underwent laparoscopic right colectomy for cancer between 01\/2011 and 08\/2021. Main outcome measures were number of harvested lymph nodes, length of resected colon, R1 rate, positive lymph node ratio, short\u2010term post\u2010operative morbidity, local recurrence, and distant metastases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two\u2010hundred seventy\u2010one consecutive patients (136\u00a0males) patients underwent laparoscopic right hemicolectomy for cancer during the study period. Vessel ligation was intracorporeal in 171 (63%) and extracorporeal in 100 patients (37%); groups had similar baseline characteristics except for extent of resection as extended right hemicolectomy was significantly more often performed in the intracorporeal group. When the two groups were matched for the extent of resection (standard versus extended right hemicolectomy), the mean number of harvested lymph nodes (28.61 \u00b1 12.04 versus 25.37 \u00b1 10.06, <jats:italic>p<\/jats:italic> = 0.04) and median length of the resected colon [26.00 (IQR: 21.00, 32.00) versus 23.00 (IQR: 19.00, 27.00) cm, <jats:italic>p<\/jats:italic> = 0.003] were significantly higher in the intracorporeal than in the extracorporeal group. The intracorporeal group required a significantly longer operative time than did the extracorporeal group (168.94 \u00b1 57.9 vs. 139.7 \u00b1 41.3\u00a0mins, <jats:italic>p<\/jats:italic> = 0.001). No significant differences were noted between the groups in terms of ileus, hemorrhage, surgical site infection, re\u2010operation rates, recurrence, or distant metastases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intracorporeal vessel ligation in laparoscopic right hemicolectomy was associated with increased lymph node yield and longer specimens, although requiring longer operative times. Postoperative clinical outcomes were similar to outcomes in the extracorporeal ligation group.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07181-4","type":"journal-article","created":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T13:01:56Z","timestamp":1695214916000},"page":"3356-3362","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Intracorporeal Vessel Ligation in Laparoscopic Right Colectomy for Cancer is Associated with Increased Lymph Node Yield"],"prefix":"10.1002","volume":"47","author":[{"given":"Zoe","family":"Garoufalia","sequence":"first","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameh Hany","family":"Emile","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"},{"name":"Colorectal Surgery Unit General Surgery Department Mansoura University Hospitals Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Gefen","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"},{"name":"Department of Surgery and Transplantations Sheba Medical Center Ramat Gan Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaylee","family":"Watson","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Emolo","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nir","family":"Horesh","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"},{"name":"Department of General Surgery, Faculty of Medicine Hadassah Medical Organization Hebrew University of Jerusalem Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanna","family":"DaSilva","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric G.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven D.","family":"Wexner","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center Cleveland Clinic Florida 2950 Cleveland Clinic Blvd. 33331 Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2020.06.022"},{"key":"e_1_2_8_3_1","article-title":"Qualitative umbrella review of systematic reviews on complete mesocolic excision for colon cancer","volume":"18","author":"Emile SH","year":"2021","journal-title":"J Visc Surg"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010017\u20105970\u20106"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2012.03020.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14504"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(07)61602\u2010X"},{"key":"e_1_2_8_8_1","unstructured":"National Comprehensive Cancer Network(2022)NCCN Clinical Practice Guidelines in Oncology: Colon Cancer. Available at:http:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/colon.pdf. Version 1.2022\u2014February 25 2022; Accessed: April 25 2022."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/014107688808100904"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(86)91510\u20102"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2008.01735.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(21)00256\u20104"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2014.10.011"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.07.404"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101295690.PMID:23204942;PMCID:PMC3311494"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-023-07181-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-023-07181-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-023-07181-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-023-07181-4","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T04:21:43Z","timestamp":1709526103000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-023-07181-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,20]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1007\/s00268-023-07181-4"],"URL":"https:\/\/doi.org\/10.1007\/s00268-023-07181-4","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,20]]},"assertion":[{"value":"29 August 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No relevant financial disclosures. Dr. Wexner reports receiving consulting fees from\u00a0ARC\/Corvus, Astellas, Baxter, Becton Dickinson, GI Supply, ICON\u00a0Language Services,\u00a0Intuitive Surgical, Leading BioSciences, Livsmed, Medtronic, Olympus Surgical,\u00a0Stryker, Takeda and receiving royalties from\u00a0Intuitive Surgical, Karl Storz Endoscopy America Inc, Medtronic, Unique Surgical Innovations, LLC.\u00a0Dr. Emile receives consulting fees from SafeHeal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Institutional Review Board of our institution.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}