{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:14:11Z","timestamp":1766067251636,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T00:00:00Z","timestamp":1606694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Reestablishing continuity after the Hartmann procedure, the Hartmann reversal has been recognized as a complex procedure with a high morbidity rate. Laparoscopic reversal of the Hartmann procedure (LHR) is technically challenging, although good short\u2010term results have been reported. We formulated this technique in 2013 and have been gradually devising and standardizing it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Surgical Technique<\/jats:title><jats:p>Ten patients who had undergone the Hartmann procedure from January 2013 to December 2019 and subsequently LHR were retrospectively examined. During the procedure, a circular incision was made at the original site of the colostomy to safely reach the abdominal cavity, and pneumoperitoneum was performed using the glove technique. Next, pelvic adhesions and the descending colon were dissected. If the rectal stump was difficult to identify, an intraoperative endoscope was used. Finally, either a Gambee or stapled anastomosis without tension was performed. The median surgical time was 265\u2009minutes (range, 160\u2010435\u2009minutes), and the median blood loss was 100\u2009mL (range, 10\u2010700\u2009mL). The median postoperative hospital stay was 11\u2009days (range, 8\u201014\u2009days). In one case, laparotomy was performed because of severe intra\u2010abdominal adhesion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>No major complication was observed during or after surgery. Therefore, LHR can be performed safely. Standardizing this procedure could render it minimally invasive, although a high level of evidence is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12902","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T09:09:18Z","timestamp":1606813758000},"page":"653-657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Standardization of laparoscopic reversal of the Hartmann procedure: A single\u2010center report"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3539-7728","authenticated-orcid":false,"given":"Daisuke","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Ishikawa Prefectural Central Hospital  Kanazawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Sakimura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological 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