{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T06:04:59Z","timestamp":1745301899513},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T00:00:00Z","timestamp":1359072000000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this retrospective study of laparoscopic low anterior resection was to compare splenic flexure mobilization (<jats:styled-content style=\"fixed-case\">SFM<\/jats:styled-content>) carried out by an extended medial to lateral approach with that by a lateral approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Records of patients with rectal cancer on a prospectively maintained database undergoing laparoscopic low anterior resection performed between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2009 and <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ovember 2011 by a single surgeon were analysed. The extended medial to lateral approach involved continuing the medial to lateral approach upwards to enter the lesser sac over the pancreas, thus permitting detachment of the splenic flexure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and thirty\u2010seven patients, including 164 undergoing a lateral <jats:styled-content style=\"fixed-case\">SFM<\/jats:styled-content> and 73 an extended medial to lateral <jats:styled-content style=\"fixed-case\">SFM<\/jats:styled-content>, were evaluated. Both patient groups had similar characteristics except for operative time (152.7\u00a0\u00b1\u00a032.7\u00a0min extended medial to lateral; 171.5\u00a0\u00b1\u00a040.8\u00a0min lateral; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), postoperatively the interval to oral intake (3.1\u00a0\u00b1\u00a00.8\u00a0days extended medial to lateral; 3.7\u00a0\u00b1\u00a00.9 lateral; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001) and duration of hospital stay (8.2\u00a0\u00b1\u00a02.8\u00a0days extended medial to lateral; 10.3\u00a0\u00b1\u00a07.5\u00a0days lateral; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002) favoured the extended medial to lateral group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An extended medial to lateral approach for <jats:styled-content style=\"fixed-case\">SFM<\/jats:styled-content> during laparoscopic low anterior resection of rectal cancer appears to be an improvement over the previously used lateral approach, because it may provide a shorter operation time and shorter hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12056","type":"journal-article","created":{"date-parts":[[2012,10,12]],"date-time":"2012-10-12T17:36:17Z","timestamp":1350063377000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["An extended medial to lateral approach to mobilize the splenic flexure during laparoscopic low anterior resection"],"prefix":"10.1111","volume":"15","author":[{"given":"H. J.","family":"Kim","sequence":"first","affiliation":[{"name":"Division of Colorectal Surgery Department of Surgery Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. H.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery Department of Surgery Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. W.","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery Department of Surgery Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. W.","family":"Huh","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery Department of Surgery Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y. J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery Department of Surgery Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. 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