{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T04:26:13Z","timestamp":1758860773135},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":2,"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":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Laparoscopy offers the benefits of minimally invasive surgery and faster recovery. Acute surgical patients may potentially benefit from the great advantages of emergency laparoscopy, which is more clinically relevant in acute than elective patients. Fashioning a laparoscopic intracorporeal anastomosis (<jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content>) after emergent colorectal resection, whenever technically feasible and not contraindicated by the patient's general and haemodynamic condition, is a most challenging technical skill.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>During the period 2010\u20132016, 59 patients underwent a laparoscopic procedure for colorectal emergency in an acute care setting by a single operating surgeon with advanced laparoscopic skills and specific expertise in both colorectal surgery and acute care surgery. This series includes 32 laparoscopic right colectomies (12 for obstruction and 20 for perforation\/peritonitis) and 27 left colectomies (6 for obstruction and 21 for perforation\/peritonitis). Twenty\u2010eight ileocolic side\u2010to\u2010side <jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content>, and 27 left colonic <jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content> (3 colocolic, 24 colorectal) were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Reasonably good postoperative outcomes were observed in the entire series of 59 laparoscopic colectomies performed in an urgent setting. Overall, the major morbidity rate in the entire group was 16.9% (10\/59) with an incidence of intra\u2010abdominal abscess of 11.8% (7\/59); the overall leak rate was 3.4% (2\/59). The re\u2010operation rate was 3.4% (2\/59). A video included in the Supporting Information shows five different sites and techniques for <jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content> and describes technical details with tips and tricks. All patients shown in the video had an uneventful postoperative recovery and were managed postoperatively according to enhanced recovery after surgery protocols.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This case series illustrates all possible sites and techniques for colonic <jats:styled-content style=\"fixed-case\">ICA<\/jats:styled-content> in an emergency setting. All colorectal and acute care surgeons should have laparoscopic suturing skills.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13642","type":"journal-article","created":{"date-parts":[[2017,3,4]],"date-time":"2017-03-04T10:57:12Z","timestamp":1488625032000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Intracorporeal anastomoses in emergency laparoscopic colorectal surgery from a series of 59 cases: where and how to do it \u2013 a technical note and video"],"prefix":"10.1111","volume":"19","author":[{"given":"S.","family":"Di Saverio","sequence":"first","affiliation":[{"name":"Maggiore Hospital Regional Emergency Surgery and Trauma Center \u2013 Bologna Local Health District Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Birindelli","sequence":"additional","affiliation":[{"name":"Maggiore Hospital Regional Emergency Surgery and Trauma Center \u2013 Bologna Local Health District Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Mandrioli","sequence":"additional","affiliation":[{"name":"Maggiore Hospital Regional Emergency Surgery and Trauma Center \u2013 Bologna Local Health District Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Podda","sequence":"additional","affiliation":[{"name":"General and Emergency Surgery San Marcellino Hospital Muravera Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. A.","family":"Binda","sequence":"additional","affiliation":[{"name":"Department of Surgery Galliera Hospital Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcibr1003521"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60991-X"},{"key":"e_1_2_6_4_1","first-page":"213","article-title":"Single port laparoscopic colorectal surgery in debilitated patients and in the urgent setting","volume":"58","author":"Moftah M","year":"2012","journal-title":"Minerva Gastroenterol Dietol"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13350"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13153"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-015-1619-x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4694-8"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-4869-y"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2012.09.002"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-012-0937-z"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0865-9"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.01.085"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13642","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T09:30:30Z","timestamp":1696325430000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1111\/codi.13642"],"URL":"https:\/\/doi.org\/10.1111\/codi.13642","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4]]},"assertion":[{"value":"2016-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-04-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}