{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:36:33Z","timestamp":1787315793245,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:00:00Z","timestamp":1569542400000},"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":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      The optimal surgical treatment of splenic flexure neoplasm is still not well defined. Extended right hemicolectomy (\n                      <jats:styled-content style=\"fixed-case\">ERH<\/jats:styled-content>\n                      ) and left colic resection (\n                      <jats:styled-content style=\"fixed-case\">LCR<\/jats:styled-content>\n                      ) have been proposed but conclusive evidence concerning postoperative morbidity and oncological results is lacking. The aim of this study was to analyse the short\u2010term outcomes after surgery for splenic flexure cancer with regard to surgical procedure and surgeon's specialty.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a multicentre study on patients who underwent surgery for primary colon cancer of the splenic flexure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 2004 to 2015, 324 patients fulfilled the criteria for inclusion into the study; 270 (83.4%) had elective surgery while 54 (16.6%) had emergency resection: 158 (48.8%) underwent\n                      <jats:styled-content style=\"fixed-case\">ERH<\/jats:styled-content>\n                      and 166 (51.2%)\n                      <jats:styled-content style=\"fixed-case\">LCR<\/jats:styled-content>\n                      ; 176 (54.3%) procedures were performed by colorectal surgeons, 148 (46.7%) by general surgeons. In the\n                      <jats:styled-content style=\"fixed-case\">ERH<\/jats:styled-content>\n                      group a significantly higher rate of emergency operations was carried out (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.005). After elective surgery, no significant differences between\n                      <jats:styled-content style=\"fixed-case\">ERH<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">LCR<\/jats:styled-content>\n                      concerning 30\u2010day mortality (3.3%\n                      <jats:italic>vs<\/jats:italic>\n                      2.0%) and the need for reoperation (10.6%\n                      <jats:italic>vs<\/jats:italic>\n                      7.4%) were found. Nodal harvesting was significantly higher in the\n                      <jats:styled-content style=\"fixed-case\">ERH<\/jats:styled-content>\n                      and colorectal surgeon groups in any clinical scenario. At multivariate analysis, age and smoking habit were predictive of the need for reoperation and major morbidity while the general surgeon group showed a higher risk of anastomotic failure (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a01.92;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.168).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      We analysed the largest series in literature of curative resections for splenic flexure tumours. The optimal procedure still remains debatable as\n                      <jats:styled-content style=\"fixed-case\">ERH<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">LCR<\/jats:styled-content>\n                      appear to achieve comparable short\u2010term outcomes. Surgeon's specialty seems to positively affect patient's outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.14832","type":"journal-article","created":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T15:37:42Z","timestamp":1566920262000},"page":"146-153","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Surgical treatment of a colon neoplasm of the splenic flexure: a multicentric study of short\u2010term outcomes"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5172-5317","authenticated-orcid":false,"given":"G. 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