{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T05:05:00Z","timestamp":1784178300122,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Deloyers procedure is a restorative surgical option when remnant colon cannot reach the rectum following an extended left colectomy. It enables reconstruction by mobilizing and rotating the right colon around the ileocolic pedicle to achieve a tension\u2010free colorectal anastomosis, preserving the ileocecal valve and absorptive capacity of the proximal colon. This technical note outlines the open approach, highlighting key steps such as full colonic mobilization, ligation of middle and right colic arteries, and a 180\u00b0 counterclockwise rotation of the colon. The anastomosis is performed in an isoperistaltic manner, followed by appendectomy and closure of the mesocolic defect. Indications include complex colorectal resections due to cancer, diverticular disease, or trauma where standard anastomosis is not feasible. Functional results are favorable, with most patients reporting 2\u20134 bowel movements per day, low incontinence rates, and minimal need for antidiarrheals. The reported anastomotic leak rates are &lt;\u20096% with acceptable morbidity rates. The open Deloyers procedure is a safe and effective option for restoring continuity and preserving function in complex colorectal cases.<\/jats:p>","DOI":"10.1111\/ans.70862","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T04:30:50Z","timestamp":1784176250000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How to Do the Open Deloyers Procedure: A Restorative Alternative When the Colon Does Not Reach the Rectum"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3559-5070","authenticated-orcid":false,"given":"Noel","family":"Salgado\u2010Nesme","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6393-4607","authenticated-orcid":false,"given":"Oscar","family":"Santes","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1751-4211","authenticated-orcid":false,"given":"Rogelio","family":"Zayas\u2010B\u00f3rquez","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2645-832X","authenticated-orcid":false,"given":"Francisco E.","family":"Alvarez\u2010Bautista","sequence":"additional","affiliation":[{"name":"Division of General\u00a0Surgery and Endoscopic Surgery Hospital General Dr. Manuel Gea Gonz\u00e1lez  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"147","article-title":"Technic Permitting the Easy Assurance of Continuity of the Colon & Conservation of Sphincter After Excision of the Left Transverse Hemicolon & Entire Left Colon; 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