{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:08:31Z","timestamp":1777921711611,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,5,1]]},"abstract":"\n Background:<\/jats:title>\n Anastomotic stricture is a common complication following laparoscopic radical resection of rectal cancer, affecting up to 30% of patients and significantly impacting quality of life. This study aimed to develop a predictive model to identify high-risk patients and characterize stricture subtypes.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n Retrospective analysis of 304 patients undergoing laparoscopic rectal cancer resection (August 2019\u2013April 2024) identified independent risk factors through multivariate logistic regression. A nomogram was developed and validated using receiver operating characteristic curves, calibration plots, and decision curve analysis. Subtype analysis compared Type I (dilatable,\n n<\/jats:italic>\n = 51) and Type II (refractory,\n n<\/jats:italic>\n = 38) strictures.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The nomogram incorporated five independent predictors: preoperative radiotherapy (odd ratio [OR] = 4.13), diverting stoma creation (OR = 6.98), lack of left colic artery preservation (OR = 3.95), anastomotic leakage (OR = 16.53), and anastomotic distance \u22643 cm (OR = 4.02), achieving an area under the curve (AUC) of .827. Type I strictures were significantly associated with diverting stoma creation (82.4% versus 39.5%,\n P<\/jats:italic>\n = .004) and an anastomotic distance >3 cm (70.6% versus 36.8%,\n P<\/jats:italic>\n = .001). The refined nomogram for Type II strictures demonstrated superior discrimination (AUC = .883,\n P<\/jats:italic>\n < .001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This dual-phase nomogram effectively predicts overall anastomotic stricture risk and identifies refractory subtypes, enabling personalized postoperative management.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2024.0401","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T04:38:46Z","timestamp":1742877526000},"page":"365-372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Nomogram for Predicting Anastomotic Stricture after Laparoscopic Radical Resection of Rectal Cancer"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7845-6564","authenticated-orcid":false,"given":"Yanhao","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Burn and Plastic Surgery, First Central Hospital of Baoding, Baoding, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yilong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nanjing Yimin Hospital, Nanjing, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanfang","family":"Sun","sequence":"additional","affiliation":[{"name":"Radiology Department, Affiliated Hospital of Hebei University, Baoding, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002361"},{"issue":"1","key":"e_1_3_4_3_2","first-page":"S155","article-title":"Endoscopic stricturoplasty with linear stapler for the treatment of refractory rectal anastomotic stricture","volume":"55","author":"Kouladouros K","year":"2023","unstructured":"Kouladouros K, , K\u00e4hler G. Endoscopic stricturoplasty with linear stapler for the treatment of refractory rectal anastomotic stricture. Endoscopy, 2023; 55(Suppl 1):S155.","journal-title":"Endoscopy"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.5455\/annalsmedres.2020.08.889"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5718-3"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.03.870"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1392676"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.15403\/jgld-3792"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002653"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000665"},{"issue":"0","key":"e_1_3_4_11_2","first-page":"8197701","article-title":"Effects of neoadjuvant radiotherapy on postoperative complications in rectal cancer: A meta-analysis","volume":"2022","author":"Yang J","year":"2022","unstructured":"Yang J, , Luo Y, , Tian T, et al. Effects of neoadjuvant radiotherapy on postoperative complications in rectal cancer: A meta-analysis. J Oncol, 2022; 2022(0):8197701\u20138197716.","journal-title":"J Oncol"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11200"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-023-03118-6"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v15.i5.825"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.2217\/fon-2023-0475"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.02.054"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006043"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.59338\/cmj.7"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2022.08.001"},{"issue":"2","key":"e_1_3_4_20_2","first-page":"97","article-title":"Level of the endorectal incision during total transanal mesorectal excision (TaTME): importance of the distance between the anterior or posterior limit of the mesorectum and the anal margin","volume":"160","author":"Ghareeb WM","year":"2023","unstructured":"Ghareeb WM, , Wang X, , Zhao X, et al. Level of the endorectal incision during total transanal mesorectal excision (TaTME): importance of the distance between the anterior or posterior limit of the mesorectum and the anal margin. J Chir Visc, 2023; 160(2):97\u2013103.","journal-title":"J Chir Visc"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.21037\/ales.2018.12.10"}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2024.0401","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2024.0401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2024.0401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:00:48Z","timestamp":1777665648000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2024.0401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5,1]]}},"alternative-id":["10.1089\/lap.2024.0401"],"URL":"https:\/\/doi.org\/10.1089\/lap.2024.0401","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,1]]}}}