{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T10:05:50Z","timestamp":1766052350044,"version":"3.48.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","award":["Eric Bishop Research Scholarship"],"award-info":[{"award-number":["Eric Bishop Research Scholarship"]}],"id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","award":["Eric Bishop Research Scholarship"],"award-info":[{"award-number":["Eric Bishop Research Scholarship"]}],"id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022878","name":"Colorectal Surgical Society of Australia and New Zealand","doi-asserted-by":"publisher","award":["Medtronic Colorectal Research Fellowship"],"award-info":[{"award-number":["Medtronic Colorectal Research Fellowship"]}],"id":[{"id":"10.13039\/501100022878","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022878","name":"Colorectal Surgical Society of Australia and New Zealand","doi-asserted-by":"publisher","award":["CSSANZ Foundation Education Grant"],"award-info":[{"award-number":["CSSANZ Foundation Education Grant"]}],"id":[{"id":"10.13039\/501100022878","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022878","name":"Colorectal Surgical Society of Australia and New Zealand","doi-asserted-by":"publisher","award":["CSSANZ Foundation Education Grant"],"award-info":[{"award-number":["CSSANZ Foundation Education Grant"]}],"id":[{"id":"10.13039\/501100022878","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022878","name":"Colorectal Surgical Society of Australia and New Zealand","doi-asserted-by":"publisher","award":["CSSANZ Foundation Education Grant"],"award-info":[{"award-number":["CSSANZ Foundation Education Grant"]}],"id":[{"id":"10.13039\/501100022878","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100021071","name":"Faculty of Medicine and Health, University of Sydney","doi-asserted-by":"publisher","award":["Senior Lecturer Fellowship"],"award-info":[{"award-number":["Senior Lecturer Fellowship"]}],"id":[{"id":"10.13039\/501100021071","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001774","name":"University of Sydney","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001774","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:italic>In\u00a0vivo<\/jats:italic>\n                      \u00a0residual arterial pedicle length (RAPL)\u00a0has been proposed\u00a0as a quality\u00a0indicator\u00a0for\u00a0central vascular ligation\u00a0(CVL\u00a0[i.e.,\u00a0RAPL\u2009\u2264\u200910\u00a0mm])\u00a0in\u00a0colorectal cancer (CRC) surgery. However, its\u00a0survival\u00a0association\u00a0in\u00a0non-routine CVL practice requires clarification.\u00a0This study aimed to assess\u00a0the feasibility and reproducibility of measuring\u00a0RAPL alongside\u00a0its oncological associations in non-routine\u00a0CVL\u00a0surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study at\u00a0Concord Hospital\u00a0was conducted on\u00a0anterior resection (AR) or right hemicolectomy (RH) patients with stage I to III\u00a0CRC\u00a0(1995\u20132019). Using surveillance\u00a0computed tomography (CT), RAPL of the inferior mesenteric artery (IMA) or ileo-colic artery (ICA) pedicle was\u00a0measured\u00a0independently by\u00a0two\u00a0observers.\u00a0The intra-class correlation coefficient assessed\u00a0the\u00a0reproducibility\u00a0of the measurements.\u00a0Kaplan-Meier and univariate Cox regression analyses\u00a0estimated overall survival (OS)\u00a0and\u00a0disease-free survival (DFS),\u00a0while\u00a0univariate and multivariate linear\u00a0regression models tested correlations between RAPL and clinicopathological features.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1425 patients underwent a CRC operation. Post-operative CTs\u00a0were\u00a0reviewed\u00a0in 424 patients,\u00a0with\u00a0422 (mean age 69.0\u00a0years [SD 12.3];\u00a054.0% males)\u00a0RAPLs measured.\u00a0The majority studied\u00a0underwent an AR (59.2%).\u00a0Excellent inter-rater reliability was noted in AR (ICC\u2009=\u20090.97;\u00a0\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and RH (ICC\u2009=\u20090.89;\u00a0\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) patients. No association was observed between RAPL and OS or DFS in either group. Also, RAPL lacked association with\u00a0nodal harvest\u00a0in\u00a0either\u00a0AR (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.54)\u00a0or RH (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.16) patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The value of RAPL as a quality marker of CRC surgery in non-routine CVL practice has not been confirmed. Furthermore, its lack of association with nodal harvest emphasizes the importance and the need for comprehensive pathology examination of the specimen following resection of CRC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-025-03130-6","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T17:10:22Z","timestamp":1744477822000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is computed tomography assessment of residual arterial pedicle length following colorectal cancer surgery a useful marker of surgical quality?"],"prefix":"10.1007","volume":"29","author":[{"given":"K.","family":"Naidu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Chapuis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Koneru","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Chan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rickard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.-S.","family":"Ng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,12]]},"reference":[{"issue":"9","key":"3130_CR1","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1177\/014107688808100904","volume":"81","author":"RJ Heald","year":"1988","unstructured":"Heald RJ (1988) The \u201cHoly Plane\u201d of rectal surgery. 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Approval was granted by the Sydney Local Health District Ethics Committee (2020\/ETH03325 and CH62\/62011\u2013136-P Chapuis HREC\/11\/CRGH206).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Patients consented to having their data collected in a prospective colorectal database and for its use in future research. In this present study which deals with measurements of RAPLs in a specific cohort within the database, a waiver of consent was obtained from our Ethics committee.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate and\/or consent to publish"}},{"value":"A published abstract was presented in the\n                      Colorectal Disease\n                      journal\n                      \u2014\n                      Naidu K\n                      ,\n                      Rickard MJFX, Ng, KS. Computed Tomography Assessment of Residual Arterial Pedicle Length Following Colon and Rectal Cancer Surgery: A Marker of Extent of Lymphadenectomy and Surgical Quality? Colorectal Disease. 2022; Colorectal Dis, 24: 48\u2013170.\n                      \n                      .","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}}],"article-number":"101"}}