{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:08:42Z","timestamp":1788930522175,"version":"build-2803163510"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Today"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To quantify colonic lengthening achieved by complete splenic flexure mobilization (SFM) and high inferior mesenteric vein (IMV) ligation while preserving the left colic artery (LCA) in laparoscopic low rectal cancer surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Standardized LCA-preserving anterior resection was performed on 18 fresh cadavers. The additional colonic length gained after each maneuver was measured under tension-free conditions. High inferior mesenteric artery (IMA) ligation, which sacrifices the LCA, was also measured as a reference comparator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean baseline resection length was 10.4\u2009\u00b1\u20096.9\u00a0cm. Additional gains: 6.3\u2009\u00b1\u20091.7\u00a0cm after SFM and 14.4\u2009\u00b1\u20092.1\u00a0cm after high IMV ligation (maximum gain under LCA preservation). As a reference, high IMA ligation (without LCA preservation) provided a lengthening of 18.4\u2009\u00b1\u20091.7\u00a0cm. In malrotation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092), IMV ligation yielded only 10.2\u201312.3\u00a0cm of mesenteric length. BMI correlated positively with the baseline length (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.529,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Under LCA preservation, high IMV ligation provides the greatest lengthening (14.4\u00a0cm), although efficacy is reduced with malrotation. These data guide preoperative planning for tension-free anastomosis and adequate margin placement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00595-026-03354-5","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:53:03Z","timestamp":1780573983000},"page":"2218-2225","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quantitative analysis of colon-lengthening techniques in laparoscopic low rectal cancer surgery with left colic artery preservation: a fresh cadaveric model study"],"prefix":"10.1007","volume":"56","author":[{"given":"Yunjie","family":"Shi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minxin","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"issue":"1","key":"3354_CR1","doi-asserted-by":"publisher","first-page":"28113","DOI":"10.1038\/s41598-024-79713-4","volume":"14","author":"M Jiang","year":"2024","unstructured":"Jiang M, Ji J, Zhang Q, Sun L, Ji Y, Wang J, et al. 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