{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:56:40Z","timestamp":1753876600715,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:00:00Z","timestamp":1704844800000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Region V\u00e4sterbotten","award":["HSN 530-2022"],"award-info":[{"award-number":["HSN 530-2022"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A defunctioning stoma is used to alleviate the consequences of anastomotic leakage after low anterior resection for rectal cancer. A loop ileostomy is often preferred but may lead to dehydration and kidney injury. Here, we present a case series for an alternative: the left-sided loop colostomy. A convenience sample of four patients underwent robotic low anterior resection for rectal cancer. A complete splenic flexure mobilization and a total mesorectal excision were performed. To defunction the anastomosis, the redundant left colon was brought up to a stoma site in the left iliac fossa and matured as a loop colostomy. Two patients experienced minor stoma leaks and one also had a small prolapse, while all patients had their colostomies reversed on average 7\u00a0months after surgery without complications. There were no dehydration episodes and creatinine levels remained within baseline levels at end of follow-up (on average 18\u00a0months).<\/jats:p>","DOI":"10.1093\/jscr\/rjad709","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T04:46:40Z","timestamp":1704948400000},"source":"Crossref","is-referenced-by-count":0,"title":["Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case series"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0974-6373","authenticated-orcid":false,"given":"Martin","family":"Ruteg\u00e5rd","sequence":"first","affiliation":[{"name":"Department of Surgical and Perioperative Sciences , Surgery, , SE-901 85, Ume\u00e5 , Sweden"},{"name":"Ume\u00e5 University , Surgery, , SE-901 85, Ume\u00e5 , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"Gerdin","sequence":"additional","affiliation":[{"name":"Department of Surgical and Perioperative Sciences , Surgery, , SE-901 85, Ume\u00e5 , Sweden"},{"name":"Ume\u00e5 University , Surgery, , SE-901 85, Ume\u00e5 , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jannice","family":"Forssell","sequence":"additional","affiliation":[{"name":"Department of Surgical and Perioperative Sciences , Surgery, , SE-901 85, Ume\u00e5 , Sweden"},{"name":"Ume\u00e5 University , Surgery, , SE-901 85, Ume\u00e5 , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olle","family":"Sj\u00f6str\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Radiation Sciences, Ume\u00e5 University , Ume\u00e5, SE-901 85 , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"S\u00f6derstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sunderby Hospital , SE-971 80, Lule\u00e5 , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petrus","family":"Vinnars","sequence":"additional","affiliation":[{"name":"Department of Surgical and Perioperative Sciences , Surgery, , SE-901 85, Ume\u00e5 , Sweden"},{"name":"Ume\u00e5 University , Surgery, , SE-901 85, Ume\u00e5 , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,10]]},"reference":[{"key":"2024040410322827700_ref1","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1002\/bjs.1800691019","article-title":"The mesorectum in rectal cancer surgery--the clue to pelvic recurrence?","volume":"69","author":"Heald","year":"1982","journal-title":"Br J Surg"},{"key":"2024040410322827700_ref2","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1097\/SLA.0000000000002429","article-title":"Anastomotic leakage and chronic presacral sinus formation after low anterior resection: results from a large cross-sectional study","volume":"266","author":"Borstlap","year":"2017","journal-title":"Ann Surg"},{"key":"2024040410322827700_ref3","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1002\/bjs5.50106","article-title":"Population-based cohort study of the impact on postoperative mortality of anastomotic leakage after anterior resection for rectal cancer: anastomotic leakage and mortality after anterior resection for rectal cancer","volume":"3","author":"Bostr\u00f6m","year":"2019","journal-title":"BJS Open"},{"key":"2024040410322827700_ref4","doi-asserted-by":"crossref","first-page":"2368","DOI":"10.1007\/s11605-022-05427-5","article-title":"When is a diverting stoma indicated after low anterior resection? A meta-analysis of randomized trials and meta-regression of the risk factors of leakage and complications in non-diverted patients","volume":"26","author":"Emile","year":"2022","journal-title":"J Gastrointest Surg"},{"key":"2024040410322827700_ref5","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1007\/BF02553881","article-title":"Anastomotic leakage in relation to type of mesorectal excision and defunctioning stoma use in anterior resection for rectal cancer","volume":"32","author":"Ruteg\u00e5rd","journal-title":"Dis Colon Rectum"},{"key":"2024040410322827700_ref6","doi-asserted-by":"crossref","first-page":"zrad010","DOI":"10.1093\/bjsopen\/zrad010","article-title":"Defunctioning loop ileostomy in anterior resection for rectal cancer and subsequent renal failure: nationwide population-based study","volume":"7","author":"Ruteg\u00e5rd","year":"2023","journal-title":"BJS Open"},{"key":"2024040410322827700_ref7","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/s00595-018-1708-x","article-title":"Loop transverse colostomy versus loop ileostomy for defunctioning of colorectal anastomosis: a systematic review, updated conventional meta-analysis, and cumulative meta-analysis","volume":"49","author":"Gavriilidis","year":"2019","journal-title":"Surg Today"},{"key":"2024040410322827700_ref8","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1111\/codi.13771","article-title":"High stoma prevalence and stoma reversal complications following anterior resection for rectal cancer: a population-based multicentre study","volume":"19","author":"Holmgren","year":"2017","journal-title":"Colorectal Dis"},{"key":"2024040410322827700_ref9","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1308\/003588408X358774","article-title":"Controversial topics in surgery: splenic flexure mobilisation for anterior resection performed for sigmoid and rectal cancer","volume":"90","author":"Kennedy","year":"2008","journal-title":"Ann R Coll Surg Engl"},{"key":"2024040410322827700_ref10","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1177\/14574969231181222","article-title":"Splenic flexure mobilization and anastomotic leakage in anterior resection for rectal cancer: a multicentre cohort study","volume":"112","author":"Ruteg\u00e5rd","year":"2023","journal-title":"Scand J Surg"},{"key":"2024040410322827700_ref11","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/978-3-031-15198-9_17","volume-title":"Robotic Colorectal Surgery [Internet]","author":"Fernandez","year":"2022"},{"key":"2024040410322827700_ref12","doi-asserted-by":"crossref","first-page":"e766","DOI":"10.1097\/SLA.0000000000005799","article-title":"Locoregional failure during and after short-course radiotherapy followed by chemotherapy and surgery compared to long-course chemoradiotherapy and surgery - a five-year follow-up of the RAPIDO trial","volume":"278","author":"Dijkstra","year":"2023","journal-title":"Ann Surg"},{"key":"2024040410322827700_ref13","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1002\/bjs.9223","article-title":"Impact of bowel dysfunction on quality of life after sphincter-preserving resection for rectal cancer","volume":"100","author":"Emmertsen","year":"2013","journal-title":"Br J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjad709\/57154960\/rjad709.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjad709\/57154960\/rjad709.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T10:32:48Z","timestamp":1712226768000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad709\/7514691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad709","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2024,1]]},"article-number":"rjad709"}}