{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:08:04Z","timestamp":1790831284845,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,6,24]],"date-time":"2013-06-24T00:00:00Z","timestamp":1372032000000},"content-version":"vor","delay-in-days":23,"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":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>A tension\u2010free anastomosis is required to minimize anastomotic leakage after an extended left colectomy when the residual transverse colon is too short to spontaneously reach the pelvis. To resolve this problem, colonic rotation with a right colonic transposition (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>) or even with a complete intestinal derotation (<jats:styled-content style=\"fixed-case\">CID<\/jats:styled-content>) is mandatory. This study compared these two techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2001 and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2011, 39 patients had undergone right colonic transposition (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>29) or complete intestinal derotation (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>10) after an extended left colectomy. All anastomotic complications had been recorded during the follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No differences were found between right colonic transposition and complete intestinal derotation in terms of patient characteristics, surgical indications, therapeutic features and risk factors for anastomotic leakage (sex, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican <jats:styled-content style=\"fixed-case\">So<\/jats:styled-content>ciety of <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nesthesiology (<jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content>) score, diabetes, bevacizumab use, colorectal anastomotic level or protective stoma use). Ligature of the middle colic artery was significantly more frequent with right colonic transposition than with complete intestinal derotation (82.7% <jats:italic>vs<\/jats:italic> 50%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04). An additional colonic resection tended to be required more often in the right colonic transposition group than in the complete intestinal derotation group (55.1% <jats:italic>vs<\/jats:italic> 20%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.054). The anastomotic complication rate was 10.2% and was not significantly different between right colonic transposition and complete intestinal derotation (6.9% <jats:italic>vs<\/jats:italic> 20%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.24).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both colonic rotation techniques are feasible and safe. The right colonic transposition and complete intestinal derotation techniques yielded similar results in terms of colorectal anastomotic complications, but right colonic transposition required ligature of the middle colic artery and additional colonic resection tended to be required more frequently.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12136","type":"journal-article","created":{"date-parts":[[2013,2,12]],"date-time":"2013-02-12T11:04:39Z","timestamp":1360667079000},"page":"747-754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Options and outcome for reconstruction after extended left hemicolectomy"],"prefix":"10.1111","volume":"15","author":[{"given":"F.","family":"Dumont","sequence":"first","affiliation":[{"name":"Department of Digestive Oncological Surgery Institut Gustave Roussy Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Da Re","sequence":"additional","affiliation":[{"name":"Department of Digestive Oncological Surgery Institut Gustave Roussy Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Go\u00e9r\u00e9","sequence":"additional","affiliation":[{"name":"Department of Digestive Oncological Surgery Institut Gustave Roussy Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Honor\u00e9","sequence":"additional","affiliation":[{"name":"Department of Digestive Oncological Surgery Institut Gustave Roussy Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Elias","sequence":"additional","affiliation":[{"name":"Department of Digestive Oncological Surgery Institut Gustave Roussy Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2010.12.007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(89)90555-2"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.02.020"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6235"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9325-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02051181"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/110241598750005750"},{"key":"e_1_2_9_9_1","volume-title":"Intestinal derotation.ed.Abdominal Surgery. 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