{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:16:53Z","timestamp":1740107813684,"version":"3.37.3"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008975","name":"Universitat de Les Illes Balears","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008975","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Advanced splenic flexure tumors are uncommon and have a higher risk of relapse. To ensure that the resection includes the entire area of lymphatic drainage with a complete mesocolic excision (CME), a left extended colectomy is needed. In peritoneal carcinomatosis, there is often extensive involvement of the sigma and splenic flexure of the colon. In many instances, total colectomies are chosen for these patients, even when a significant portion of the colon could be preserved. The potential impact on quality of life after splenic flexure colon resection is discussed, as well as the importance of anatomical knowledge and expertise in performing this type of surgery. Overall, this work presents a modified technique that aims to improve the outcomes and quality of life for patients with splenic flexure colon cancer. Creating a tension-free anastomosis after extended left-sided colorectal resection is challenging. There is a negative impact on quality of life when an ileorectal anastomosis is created. The colorectal anastomosis performed after modified Rosi\u2013Cahill or Deloyers\u2019 technique allows reduced small bowel bacterial overgrowth, achieves better water and sodium absorption, and altogether permits improved stool consistency. There are potential advantages of the Rosi\u2013Cahill technique over other popular options such as Deloyers\u2019 procedure as there is no torsion of the ileocolic vessels and no mesenteric windows. A video was recorded showing a potential pitfall during Deloyers\u2019 technique resulting in the creation of a mesenteric window. The proper rotation of the colon during the modified Rosi\u2013Cahill procedure was also filmed. Overall, this work presents a modified technique for reconstruction after left extended colectomy that aims to improve the outcomes and quality of life for patients with splenic flexure colon cancer.<\/jats:p>","DOI":"10.1007\/s10151-024-02956-w","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T13:01:35Z","timestamp":1721480495000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Rosi\u2013Cahill technique after left extended colectomy for splenic flexure advanced tumors"],"prefix":"10.1007","volume":"28","author":[{"given":"J. J.","family":"Segura-Sampedro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Ca\u00f1ete-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Craus-Miguel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,20]]},"reference":[{"key":"2956_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7602\/jmis.2022.25.1.1","volume":"25","author":"HJ Kim","year":"2022","unstructured":"Kim HJ, Park JW (2022) Surgical outcomes of various surgical approaches for transverse colon cancer. J Minim Invas Surg 25:1\u20136. https:\/\/doi.org\/10.7602\/jmis.2022.25.1.1","journal-title":"J Minim Invas Surg"},{"key":"2956_CR2","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1097\/DCR.0000000000001785","volume":"63","author":"C Pedrazzani","year":"2020","unstructured":"Pedrazzani C, Turri G, Park SY et al (2020) Clinical-pathologic characteristics and long-term outcomes of left flexure colonic cancer: a retrospective analysis of an international multicenter cohort. Dis Colon Rectum 63:1593\u20131601. https:\/\/doi.org\/10.1097\/DCR.0000000000001785","journal-title":"Dis Colon Rectum"},{"key":"2956_CR3","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1002\/JSO.27211","volume":"127","author":"PH Sugarbaker","year":"2023","unstructured":"Sugarbaker PH, Chang D (2023) Total abdominal colectomy to facilitate complete cytoreduction in 56 patients with mucinous appendiceal neoplasms with peritoneal metastases. J Surg Oncol 127:1011\u20131018. https:\/\/doi.org\/10.1002\/JSO.27211","journal-title":"J Surg Oncol"},{"key":"2956_CR4","doi-asserted-by":"publisher","first-page":"1284","DOI":"10.47391\/JPMA.6012","volume":"73","author":"AS Usmani","year":"2023","unstructured":"Usmani AS, Yasin I, Asif RB, Khalid N, Syed AA (2023) Rectosigmoid resection morbidity in ovarian cancer cytoreductive surgery. J Pak Med Assoc 73:1284\u20131287. https:\/\/doi.org\/10.47391\/JPMA.6012","journal-title":"J Pak Med Assoc"},{"key":"2956_CR5","doi-asserted-by":"publisher","DOI":"10.1016\/J.SURONC.2023.102012","volume":"51","author":"Y Kamada","year":"2023","unstructured":"Kamada Y, Hida K, Yonemura Y et al (2023) Analysis of the characteristics and outcomes of patients with pseudomyxoma peritonei of appendiceal origin treated with curative-intent surgery. Surg Oncol 51:102012. https:\/\/doi.org\/10.1016\/J.SURONC.2023.102012","journal-title":"Surg Oncol"},{"key":"2956_CR6","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1007\/s00595-021-02328-z","volume":"52","author":"K Murono","year":"2022","unstructured":"Murono K, Nozawa H, Kawai K et al (2022) Vascular anatomy of the splenic flexure: a review of the literature. Surg Today\u00a052:727\u2013735. https:\/\/doi.org\/10.1007\/s00595-021-02328-z","journal-title":"Surg Today"},{"key":"2956_CR7","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-023-14238-0","author":"JJ Segura-Sampedro","year":"2023","unstructured":"Segura-Sampedro JJ, Craus-Miguel A (2023) ASO author reflections: preserving bowel length and quality of life in oncologic patients: importance of intestinal resection strategy. Ann Surg Oncol. https:\/\/doi.org\/10.1245\/s10434-023-14238-0","journal-title":"Ann Surg Oncol"},{"key":"2956_CR8","first-page":"176","volume":"34","author":"PA Rosi","year":"1960","unstructured":"Rosi PA, Cahill WJ (1960) Subtotal colectomy with caecorectal anastomosis for multiple adenomas of the colo-rectum. Q Bull Northwest Univ Med Sch 34:176\u2013181","journal-title":"Q Bull Northwest Univ Med Sch"},{"key":"2956_CR9","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1111\/j.1463-1318.2008.01735.x","volume":"11","author":"W Hohenberger","year":"2009","unstructured":"Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation-technical notes and outcome. Colorectal Dis 11:354\u2013364. https:\/\/doi.org\/10.1111\/j.1463-1318.2008.01735.x. (Discussion 364\u20135)","journal-title":"Colorectal Dis"},{"key":"2956_CR10","doi-asserted-by":"publisher","first-page":"391","DOI":"10.4251\/wjgo.v13.i5.391","volume":"13","author":"C Li","year":"2021","unstructured":"Li C, Wang Q, Jiang KW (2021) What is the best surgical procedure of transverse colon cancer? An evidence map and minireview. World J Gastrointest Oncol 13:391\u2013399. https:\/\/doi.org\/10.4251\/wjgo.v13.i5.391","journal-title":"World J Gastrointest Oncol"},{"key":"2956_CR11","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1111\/codi.15403","volume":"23","author":"S Morarasu","year":"2021","unstructured":"Morarasu S, Clancy C, Cronin CT, Matsuda T, Heneghan HM, Winter DC (2021) Segmental versus extended colectomy for tumours of the transverse colon: a systematic review and meta-analysis. Colorectal Dis 23:625\u2013634. https:\/\/doi.org\/10.1111\/codi.15403","journal-title":"Colorectal Dis"},{"key":"2956_CR12","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1007\/s10151-016-1562-z","volume":"20","author":"A Sciuto","year":"2016","unstructured":"Sciuto A, Grifasi C, Pirozzi F, Leon P, Pirozzi REM, Corcione F (2016) Laparoscopic deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results. Tech Coloproctol 20:865\u2013869. https:\/\/doi.org\/10.1007\/s10151-016-1562-z","journal-title":"Tech Coloproctol"},{"key":"2956_CR13","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/978-3-662-53210-2_25","volume-title":"Coloproctology","author":"THK Schiedeck","year":"2017","unstructured":"Schiedeck THK, Matzel KE (2017) Colon cancer. Coloproctology. Springer, Berlin, pp 289\u2013301"},{"key":"2956_CR14","first-page":"404","volume":"60","author":"L Deloyers","year":"1964","unstructured":"Deloyers L (1964) La Bascule Du C\u00f4lon Droit Permet sans Exception de Conserver Le Sphincter Anal Apr\u00e8s Les Colectomies \u00c9tendues Du Transverse et Du C\u00f4lon Gauche (Rectum y Compris) Technique\u2014Indications- R\u00e9sultats Imm\u00e9diats et Tardifs. Lyon Chir 60:404\u2013413","journal-title":"Lyon Chir"},{"key":"2956_CR15","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1097\/DCR.0b013e3182423f83","volume":"55","author":"G Manceau","year":"2012","unstructured":"Manceau G, Karoui M, Breton S et al (2012) Right colon to rectal anastomosis (Deloyers procedure) as a salvage technique for low colorectal or coloanal anastomosis: postoperative and long-term outcomes. Dis Colon Rectum 55:363\u2013368. https:\/\/doi.org\/10.1097\/DCR.0b013e3182423f83","journal-title":"Dis Colon Rectum"},{"key":"2956_CR16","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021421","volume":"99","author":"BJ Choi","year":"2020","unstructured":"Choi BJ, Kwon W, Baek SH, Jeong WJ, Lee SC (2020) Single-port laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy or subtotal colectomy: a 6-patient case series. Medicine 99:e21421. https:\/\/doi.org\/10.1097\/MD.0000000000021421","journal-title":"Medicine"},{"key":"2956_CR17","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2021.00004","author":"J Dux","year":"2021","unstructured":"Dux J, Katz E, Adileh M, Segev L, Hazzan D (2021) Restoring intestinal continuity in a hostile abdomen: the Deloyers procedure. J Soc Laparoendosc Surg. https:\/\/doi.org\/10.4293\/JSLS.2021.00004","journal-title":"J Soc Laparoendosc Surg"},{"key":"2956_CR18","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1111\/codi.12136","volume":"15","author":"F Dumont","year":"2013","unstructured":"Dumont F, Da Re C, Go\u00e9r\u00e9 D, Honor\u00e9 C, Elias D (2013) Options and outcome for reconstruction after extended left hemicolectomy. Colorectal Dis 15:747\u2013754. https:\/\/doi.org\/10.1111\/codi.12136","journal-title":"Colorectal Dis"},{"key":"2956_CR19","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1111\/codi.15501","volume":"23","author":"I Seow-En","year":"2021","unstructured":"Seow-En I, Ke TW, Chang SC, Chen WTL (2021) Laparoscopic retrojejunal trans-mesenteric anastomosis for extended left-sided colorectal resections\u2014a new solution to an old problem. Colorectal Dis 23:1262\u20131267. https:\/\/doi.org\/10.1111\/codi.15501","journal-title":"Colorectal Dis"},{"key":"2956_CR20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/cancers13164248","volume":"13","author":"K Nishikimi","year":"2021","unstructured":"Nishikimi K, Tate S, Matsuoka A, Otsuka S, Shozu M (2021) Surgical techniques and outcomes of colorectal anastomosis after left hemicolectomy with low anterior rectal resection for advanced ovarian cancer. Cancers (Basel) 13:1\u201313. https:\/\/doi.org\/10.3390\/cancers13164248","journal-title":"Cancers (Basel)"},{"key":"2956_CR21","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1111\/codi.15018","volume":"22","author":"YC Chen","year":"2020","unstructured":"Chen YC, Fingerhut A, Shen MY et al (2020) Colorectal anastomosis after laparoscopic extended left colectomy: techniques and outcome. Colorectal Dis 22:1189\u20131194. https:\/\/doi.org\/10.1111\/codi.15018","journal-title":"Colorectal Dis"},{"key":"2956_CR22","first-page":"248","volume":"51","author":"G Costalat","year":"1997","unstructured":"Costalat G, Garrigues JM, Didelot JM, Yousfi A, Boccasanta P (1997) Subtotal colectomy with ceco-rectal anastomosis (Deloyers) for severe idiopathic constipation: an alternative to total colectomy reducing risks of digestive sequelae. Ann Chir 51:248\u2013255","journal-title":"Ann Chir"},{"key":"2956_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2011\/468698","volume":"2011","author":"A Casado-Adam","year":"2011","unstructured":"Casado-Adam A, Alderman R, Stuart OA, Chang D, Sugarbaker PH (2011) Gastrointestinal complications in 147 consecutive patients with peritoneal surface malignancy treated by cytoreductive surgery and perioperative intraperitoneal chemotherapy. Int J Surg Oncol 2011:1\u201310. https:\/\/doi.org\/10.1155\/2011\/468698","journal-title":"Int J Surg Oncol"},{"key":"2956_CR24","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1097\/IGC.0B013E31827DE6B9","volume":"23","author":"R Chekerov","year":"2013","unstructured":"Chekerov R, Braicu I, Castillo-Tong DC et al (2013) Outcome and clinical management of 275 patients with advanced ovarian cancer International Federation of Obstetrics and Gynecology II to IV inside the European Ovarian Cancer Translational Research Consortium-OVCAD. Int J Gynecol Cancer 23:268\u2013275. https:\/\/doi.org\/10.1097\/IGC.0B013E31827DE6B9","journal-title":"Int J Gynecol Cancer"},{"key":"2956_CR25","unstructured":"Halkia E, Papantziala A, Vassiliadou D et al. Short bowel syndrome after cytoreductive surgery and HIPEC: nutritional considerations. J BUON. 2014;19:549\u201353"},{"key":"2956_CR26","doi-asserted-by":"publisher","first-page":"2311","DOI":"10.1016\/J.EJSO.2020.08.006","volume":"46","author":"M H\u00fcbner","year":"2020","unstructured":"H\u00fcbner M, Kusamura S, Villeneuve L, Al-Niaimi A, Alyami M, Balonov K et al (2020) Guidelines for perioperative care in cytoreductive surgery (CRS) with or without Hyperthermic IntraPEritoneal Chemotherapy (HIPEC): Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations\u2014part II: postoperative management and special considerations. Eur J Surg Oncol 46:2311\u20132323. https:\/\/doi.org\/10.1016\/J.EJSO.2020.08.006","journal-title":"Eur J Surg Oncol"},{"key":"2956_CR27","doi-asserted-by":"publisher","first-page":"1757","DOI":"10.1002\/JCSM.12771","volume":"12","author":"M Schneider","year":"2021","unstructured":"Schneider M, H\u00fcbner M, Becce F et al (2021) Sarcopenia and major complications in patients undergoing oncologic colon surgery. J Cachexia Sarcopenia Muscle 12:1757\u20131763. https:\/\/doi.org\/10.1002\/JCSM.12771","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"2956_CR28","doi-asserted-by":"publisher","DOI":"10.3390\/CANCERS13102410","author":"C Lee","year":"2021","unstructured":"Lee C, Park IJ, Kim KW et al (2021) Influence of postoperative changes in sarcopenia on long-term survival in non-metastatic colorectal cancer patients. Cancers (Basel). https:\/\/doi.org\/10.3390\/CANCERS13102410","journal-title":"Cancers (Basel)"},{"key":"2956_CR29","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1111\/codi.16189","volume":"24","author":"M Mart\u00ed Gallostra","year":"2022","unstructured":"Mart\u00ed Gallostra M, Dalmau Romero M, Pellino G, Solis Pe\u00f1a A, Esp\u00edn-Basany E (2022) Laparoscopic Deloyers procedure: a step-by-step video demonstration. Colorectal Dis 24:1260\u20131261","journal-title":"Colorectal Dis"},{"key":"2956_CR30","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-023-14165-0","author":"JJ Segura-Sampedro","year":"2023","unstructured":"Segura-Sampedro JJ, Morales-Soriano R, Rodr\u00edguez-Pino JC, Pine\u00f1o Flores C, Craus-Miguel A (2023) Antiperistaltic transverse coloplasty: a salvage procedure in extensive bowel and colorectal resections to avoid intestinal failure. Ann Surg Oncol. https:\/\/doi.org\/10.1245\/s10434-023-14165-0","journal-title":"Ann Surg Oncol"},{"key":"2956_CR31","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1097\/DCR.0000000000001154","volume":"61","author":"CA Bertelsen","year":"2018","unstructured":"Bertelsen CA, Larsen HM, Neuenschwander AU, Laurberg S, Kristensen B, Emmertsen KJ (2018) Long-term functional outcome after right-sided complete mesocolic excision compared with conventional colon cancer surgery: a population-based questionnaire study. Dis Colon Rectum 61:1063\u20131072. https:\/\/doi.org\/10.1097\/DCR.0000000000001154","journal-title":"Dis Colon Rectum"},{"key":"2956_CR32","doi-asserted-by":"publisher","DOI":"10.1038\/S41424-018-0011-X","author":"SSC Rao","year":"2018","unstructured":"Rao SSC, Tan G, Abdulla H, Yu S, Larion S, Leelasinjaroen P (2018) Does colectomy predispose to small intestinal bacterial (SIBO) and fungal overgrowth (SIFO)? Clin Transl Gastroenterol. https:\/\/doi.org\/10.1038\/S41424-018-0011-X","journal-title":"Clin Transl Gastroenterol"},{"key":"2956_CR33","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1007\/s00384-017-2922-5","volume":"33","author":"R Ghinea","year":"2018","unstructured":"Ghinea R, Avital S, Katz E, Shpitz B, White I (2018) A surgical solution to regain bowel continuity following an extended left colectomy\u2014reviving and extending the indication for a \u201cflip-flop\u201d procedure. Int J Colorectal Dis 33:95\u201397. https:\/\/doi.org\/10.1007\/s00384-017-2922-5","journal-title":"Int J Colorectal Dis"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-024-02956-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-024-02956-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-024-02956-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T22:03:18Z","timestamp":1733954598000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10151-024-02956-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,20]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["2956"],"URL":"https:\/\/doi.org\/10.1007\/s10151-024-02956-w","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"type":"print","value":"1123-6337"},{"type":"electronic","value":"1128-045X"}],"subject":[],"published":{"date-parts":[[2024,7,20]]},"assertion":[{"value":"5 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"There are no conflicts of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This article does not contain any studies with animals performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research involving human participants or animals"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standard"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}],"article-number":"87"}}