{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:09:33Z","timestamp":1790791773610,"version":"4.1.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2020,7]]},"DOI":"10.1016\/j.amjsurg.2019.09.029","type":"journal-article","created":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T02:00:27Z","timestamp":1569463227000},"page":"191-196","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Splenic flexure mobilization for sigmoid and low anterior resections in the minimally invasive era: How often and at what cost?"],"prefix":"10.1016","volume":"220","author":[{"given":"Erica","family":"Pettke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Leigh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinit","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vesna","family":"Cekic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohong","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.M.C. Shantha","family":"Kumara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipa","family":"Gandhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Whelan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.amjsurg.2019.09.029_bib1","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1111\/codi.12056","article-title":"An extended medial to lateral approach to mobilize the splenic flexure during laparoscopic low anterior resection","volume":"15","author":"Kim","year":"2013","journal-title":"Colorectal Dis"},{"issue":"12","key":"10.1016\/j.amjsurg.2019.09.029_bib2","doi-asserted-by":"crossref","first-page":"2796","DOI":"10.1007\/s00464-009-0566-4","article-title":"Current technique of laparoscopic total mesorectal excision (TME): an international questionnaire among 368 surgeons","volume":"23","author":"Cheung","year":"2009","journal-title":"Surg Endosc"},{"issue":"2","key":"10.1016\/j.amjsurg.2019.09.029_bib3","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1463-1318.2007.01265.x","article-title":"A\u00a06-year review of surgical morbidity and oncological outcome after high anterior resection for colorectal malignancy with and without splenic flexure mobilization","volume":"10","author":"Katory","year":"2008","journal-title":"Colorectal Dis"},{"issue":"94-95","key":"10.1016\/j.amjsurg.2019.09.029_bib4","first-page":"1354","article-title":"Laparoscopic rectal resection without splenic flexure mobilization: a prospective study assessing anastomotic safety","volume":"56","author":"Kim","year":"2009","journal-title":"Hepato-Gastroenterology"},{"issue":"1","key":"10.1016\/j.amjsurg.2019.09.029_bib5","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/SLE.0b013e318196cdb0","article-title":"Laparoscopic versus open resection without splenic flexure mobilization for the treatment of rectum and sigmoid cancer: a study from a single institution that selectively used splenic flexure mobilization","volume":"19","author":"Park","year":"2009","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"issue":"4","key":"10.1016\/j.amjsurg.2019.09.029_bib6","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1001\/archsurg.2011.1010","article-title":"Predictive factors of splenic injury in colorectal surgery: data from the Nationwide Inpatient Sample, 2006-2008","volume":"147","author":"Masoomi","year":"2012","journal-title":"Arch Surg"},{"issue":"5","key":"10.1016\/j.amjsurg.2019.09.029_bib7","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1007\/s00268-011-0994-x","article-title":"Risk factors for splenic injury during colectomy: a matched case-control study","volume":"35","author":"Wang","year":"2011","journal-title":"World J Surg"},{"issue":"5","key":"10.1016\/j.amjsurg.2019.09.029_bib8","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1007\/s00464-014-3774-5","article-title":"Does laparoscopy reduce splenic injuries during colorectal resections? An assessment from the ACS-NSQIP database","volume":"29","author":"Isik","year":"2015","journal-title":"Surg Endosc"},{"issue":"2","key":"10.1016\/j.amjsurg.2019.09.029_bib9","first-page":"139","article-title":"Accidental splenic injury during surgical treatment of the colon and rectum","volume":"159","author":"Langevin","year":"1984","journal-title":"Surg Gynecol Obstet"},{"issue":"5","key":"10.1016\/j.amjsurg.2019.09.029_bib10","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/SLE.0b013e3180dc93aa","article-title":"Comparison of iatrogenic splenectomy during open and laparoscopic colon resection","volume":"17","author":"Malek","year":"2007","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"issue":"7","key":"10.1016\/j.amjsurg.2019.09.029_bib11","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1001\/archsurg.142.7.668","article-title":"The significance of inadvertent splenectomy during colorectal cancer resection","volume":"142","author":"McGory","year":"2007","journal-title":"Arch Surg"},{"issue":"2","key":"10.1016\/j.amjsurg.2019.09.029_bib12","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00000658-197602000-00007","article-title":"Incidental splenectomy: a review of the literature and the New York Hospital experience","volume":"183","author":"Danforth","year":"1976","journal-title":"Ann Surg"},{"issue":"5","key":"10.1016\/j.amjsurg.2019.09.029_bib13","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1177\/000313481608200516","article-title":"CT scan mapping of splenic flexure in relation to spleen and its clinical implications","volume":"82","author":"Saber","year":"2016","journal-title":"Am Surg"},{"issue":"11","key":"10.1016\/j.amjsurg.2019.09.029_bib14","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1001\/archsurg.2009.188","article-title":"Splenic salvage after intraoperative splenic injury during colectomy","volume":"144","author":"Holubar","year":"2009","journal-title":"Arch Surg"},{"issue":"6","key":"10.1016\/j.amjsurg.2019.09.029_bib15","first-page":"731","article-title":"Iatrogenic splenic injury","volume":"47","author":"Cassar","year":"2002","journal-title":"J\u00a0R Coll Surg Edinb"},{"issue":"5","key":"10.1016\/j.amjsurg.2019.09.029_bib16","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1097\/SLE.0b013e31829ce62a","article-title":"Impact of splenic flexure mobilization on short-term outcomes after laparoscopic left colectomy for colorectal cancer","volume":"24","author":"Gouvas","year":"2014","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"issue":"11","key":"10.1016\/j.amjsurg.2019.09.029_bib17","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1007\/s00384-012-1495-6","article-title":"Different approaches for complete mobilization of the splenic flexure during laparoscopic rectal cancer resection","volume":"27","author":"Benseler","year":"2012","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.amjsurg.2019.09.029_bib18","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.ijsu.2017.02.094","article-title":"Location is everything: the role of splenic flexure mobilization during colon resection for diverticulitis","volume":"40","author":"Schlussel","year":"2017","journal-title":"Int J Surg"},{"issue":"10","key":"10.1016\/j.amjsurg.2019.09.029_bib19","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1111\/j.1463-1318.2011.02927.x","article-title":"The selective use of splenic flexure mobilization is safe in both laparoscopic and open anterior resections","volume":"14","author":"Marsden","year":"2012","journal-title":"Colorectal Dis"},{"issue":"3","key":"10.1016\/j.amjsurg.2019.09.029_bib20","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/10350-006-0811-z","article-title":"Routine mobilization of the splenic flexure is not necessary during anterior resection for rectal cancer","volume":"50","author":"Brennan","year":"2007","journal-title":"Dis Colon Rectum"},{"issue":"3","key":"10.1016\/j.amjsurg.2019.09.029_bib21","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s10151-013-1049-0","article-title":"What are 30-day postoperative outcomes following splenic flexure mobilization during anterior resection?","volume":"18","author":"Carlson","year":"2014","journal-title":"Tech Coloproctol"},{"issue":"6","key":"10.1016\/j.amjsurg.2019.09.029_bib22","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1080\/110241599750006505","article-title":"Long term effect of splenectomy on patients operated on for cancer of the left colon: a retrospective study","volume":"165","author":"Konstadoulakis","year":"1999","journal-title":"Eur J Surg"},{"key":"10.1016\/j.amjsurg.2019.09.029_bib23","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s101510100004","article-title":"Is splenic lobe\/segment dearterialization feasible for inferior pole trauma during left hemicolectomy?","volume":"5","author":"Ignjatovic","year":"2001","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.amjsurg.2019.09.029_bib24","doi-asserted-by":"crossref","first-page":"857","DOI":"10.7150\/ijms.8874","article-title":"How much colonic redundancy could Be obtained by splenic flexure mobilization in laparoscopic anterior or low anterior resection?","volume":"11","author":"Kye","year":"2014","journal-title":"Int J Med Sci"},{"key":"10.1016\/j.amjsurg.2019.09.029_bib25","article-title":"Lengthening of the colon for low rectal anastomosis in a cadaveric study: how much can we gain?","author":"Thum-Umnuaysuk","year":"2012","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.amjsurg.2019.09.029_bib26","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1590\/S0004-28032012000300010","article-title":"Assessing the extent of colon lengthening due to splenic flexure mobilization techniques: a cadaver study","volume":"49","author":"Araujo","year":"2012","journal-title":"Arq Gastroenterol"},{"issue":"9","key":"10.1016\/j.amjsurg.2019.09.029_bib27","doi-asserted-by":"crossref","first-page":"2763","DOI":"10.1007\/s00464-014-4007-7","article-title":"Technique of last resort: characteristics of patients undergoing open surgery in the laparoscopic era","volume":"29","author":"Guend","year":"2015","journal-title":"Surg Endosc"},{"issue":"1","key":"10.1016\/j.amjsurg.2019.09.029_bib28","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/s00464-013-3135-9","article-title":"The rate for the use of hand-assisted laparoscopic methods is directly proportional to body mass index","volume":"28","author":"Myers","year":"2014","journal-title":"Surg Endosc"},{"key":"10.1016\/j.amjsurg.2019.09.029_bib29","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jss.2016.08.082","article-title":"Risk factors for superficial surgical site infection after elective rectal cancer resection: a multivariate analysis of 8880 patients from the American College of Surgeons National Surgical Quality Improvement Program database","volume":"207","author":"Sutton","year":"2017","journal-title":"J\u00a0Surg Res"},{"issue":"3","key":"10.1016\/j.amjsurg.2019.09.029_bib30","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1177\/1553350615618285","article-title":"Surgical treatment of diverticulitis: hand-assisted laparoscopic resection is predominantly used for complex cases and is associated with increased postoperative complications and prolonged hospitalization","volume":"23","author":"Miyagaki","year":"2016","journal-title":"Surg Innov"},{"issue":"2","key":"10.1016\/j.amjsurg.2019.09.029_bib31","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/1553350610366715","article-title":"Is there a role for a strict incision length\u00a0criterion for determining conversions during laparoscopic colorectal resection?","volume":"17","author":"Offodile","year":"2010","journal-title":"Surg Innov"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961019301011?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961019301011?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:19:42Z","timestamp":1757701182000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961019301011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["S0002961019301011"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2019.09.029","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Splenic flexure mobilization for sigmoid and low anterior resections in the minimally invasive era: How often and at what cost?","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2019.09.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}