{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:32:56Z","timestamp":1768437176421,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"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":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The new approach of transanal total mesorectal excision is technically challenging and demands a stable field of dissection with optimal view of anatomical landmarks. We aimed to describe and demonstrate a modification of both the insufflation of carbon dioxide and smoke evacuation, in order to optimize dissection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The comparison of standard insufflation to an AirSeal platform demonstrates a clear difference. This is shown in the accompanying video\u2010recordings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A more stable pneumorectum and better smoke evacuation as well as more convenient and precise dissection were achieved with the AirSeal platform.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using the technique outlined, the operating surgeon is able to perform the surgical dissection in a stable operating environment with increased visibility compared to the standard approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13074","type":"journal-article","created":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T12:54:48Z","timestamp":1438088088000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Optimal dissection for transanal total mesorectal excision using modified <scp>CO<\/scp><sub>2<\/sub> insufflation and smoke extraction"],"prefix":"10.1111","volume":"17","author":[{"given":"G.","family":"Nicholson","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Oxford University Hospitals NHS Trust Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Knol","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery Jessa Hospital Hasselt Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Houben","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery Jessa Hospital Hasselt Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Oxford University Hospitals NHS Trust Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Oxford University Hospitals NHS Trust Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Hompes","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Oxford University Hospitals NHS Trust Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12661"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12660"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-0984-0"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2443-9"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-1095-7"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-014-1244-7"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2434-x"},{"key":"e_1_2_3_9_1","unstructured":"https:\/\/www.stryker.com\/enus\/products\/Endoscopy\/Laparoscopy\/Insufflators2\/index.htm#; 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