{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T09:40:29Z","timestamp":1792834829814,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":111,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intracorporeal anastomosis in laparoscopic right colectomy offers several clinical advantages but is often associated with higher costs due to the increased number of stapler firings compared to extracorporeal anastomosis. We developed a novel \u201cthree\u2010stapler uncut overlap anastomosis\u201d to reduce costs while maintaining the benefits of intracorporeal anastomosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed 60 patients who underwent minimally invasive right colectomy using this technique between February 2023 and November 2025. The procedures included robot\u2010assisted (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931), conventional laparoscopic (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920), and single\u2010incision laparoscopic surgeries (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099). The technique involves initially dividing only the colon, maintaining an intact ileum during anastomosis, and completing ileal transection simultaneously with enterotomy closure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The technique was successfully completed with only three stapler firings in 58 patients (96.7%). The median operative time was 231\u2009min, and the median open bowel time was 11\u2009min. No cases of anastomotic leakage, stenosis, or major perioperative complications (Clavien\u2010Dindo Grade\u2009\u2265\u2009IIIb) were observed. Pathological examination confirmed R0 resection with adequate margins in all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The three\u2010stapler uncut overlap anastomosis appears to be a safe, feasible, and cost\u2010effective reconstruction method for minimally invasive right colectomy. It provides excellent short\u2010term outcomes while minimizing the economic burden associated with intracorporeal anastomosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70299","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T05:42:14Z","timestamp":1776922934000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Three\u2010Stapler Uncut Overlap Anastomosis in Laparoscopic Right Colectomy: Short\u2010Term Outcomes and Technical Feasibility"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0089-8757","authenticated-orcid":false,"given":"Yoshinori","family":"Hirasaki","sequence":"first","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Yagi","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Tujigiwa","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiharu","family":"Aotake","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukui Red Cross Hospital  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66545-2"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09290-5"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6782"},{"key":"e_1_2_12_5_1","first-page":"1060","article-title":"Survival Outcomes Following Laparoscopic Versus Open D3 Dissection for Stage II or III Colon Cancer (JCOG0404 Randomized Controlled Trial)","volume":"273","author":"Kitano S.","year":"2021","journal-title":"Annals of Surgery"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-023-04445-2"},{"key":"e_1_2_12_7_1","first-page":"530","article-title":"Intracorporeal Versus Extracorporeal Anastomosis in Laparoscopic Right Colectomy: An Updated Systematic Review and Cumulative Meta\u2010Analysis","volume":"30","author":"Aiolfi A.","year":"2020","journal-title":"JSLS: Journal of the Society of Laparoendoscopic Surgeons"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-020-03807-4"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-019-02079-7"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-025-14676-x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.21873\/anticanres.13853"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v23.i36.6726"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010025\u201012401\u20100"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-11592-w"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09546-7"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003519"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2023.1178619"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.70048"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70299","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70299","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T09:33:14Z","timestamp":1792834394000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70299"],"URL":"https:\/\/doi.org\/10.1111\/ases.70299","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70299"}}