{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T22:07:03Z","timestamp":1766182023865,"version":"3.37.3"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>During restorative proctocolectomy with ileal pouch\u2013anal anastomosis for ulcerative colitis\u2013associated colorectal cancer or dysplasia, ileal pouch\u2013anal handsewn anastomosis (IAA) is preferred to avoid the risk of cancer development in the remaining rectal mucosa. However, there is a risk of the ileal pouch not reaching the anus with this procedure. Here, we created deformable 3-dimensional (3D) models for simulation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>Six patients who underwent IAA without vessel ligation and 5 patients who underwent ileal pouch\u2013anal canal double-stapled anastomosis (IACA) because the ileal pouch did not reach the anus were studied. A 3D printer was used to create deformable 3D models from the data obtained from computed tomography scans. The positional relationship among the mesenteric arteries, pubis, and coccyx were evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Result<\/jats:title>\n                  <jats:p>The distance between the superior mesenteric artery root and the tip of the ileal artery was longer in the IAA group than that in the IACA group (IAA vs IACA: 26.2\u2005\u00b1\u20052.1 cm vs 20.9\u2005\u00b1\u20051.6cm). The distance from the tip of the ileal artery to the coccyx (IAA vs IACA: 6.7\u2005\u00b1\u20051.7 cm vs 12.1\u2005\u00b1\u20052.1 cm) and the distance from the tip of the ileal artery to the lower edge of the pubis (IAA vs IACA; 8.1\u2005\u00b1\u20051.3 cm vs 12.7\u2005\u00b1\u20052.4 cm) were longer in the IACA group than those in the IAA group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We established a method for creating 3D deformable models of patients with ileal pouch\u2013anal anastomosis. These 3D models may be useful for preoperative simulation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ibd\/izac283","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T11:51:30Z","timestamp":1674474690000},"page":"1865-1870","source":"Crossref","is-referenced-by-count":5,"title":["Preoperative Simulation of Ileal Pouch\u2013Anal Anastomosis in Patients With Ulcerative Colitis Using a 3-Dimensional Printed Model"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8517-1022","authenticated-orcid":false,"given":"Shota","family":"Yokose","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Murono","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7891-5986","authenticated-orcid":false,"given":"Hiroaki","family":"Nozawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhito","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigenobu","family":"Emoto","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Matsuzaki","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuzo","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Yoshioka","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahide","family":"Shinagawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Sonoda","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shin","family":"Murai","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Faculty of Medicine, University of Tokyo , Tokyo , 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