{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:54:22Z","timestamp":1747184062585,"version":"3.40.5"},"reference-count":6,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T00:00:00Z","timestamp":1610323200000},"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":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Following extended left\u2010sided colorectal resection, creation of the anastomosis can be challenging due to insufficient length of the remaining proximal and distal bowel. Retroileal pull\u2010through and the Deloyers procedure are feasible but require ligation of the middle colic vessels and additional right colonic mobilization. The aim of this study was to describe our initial experience with an alternative technique for performing tension\u2010free anastomosis following minimally invasive left\u2010sided resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a retrospective case series of all patients who underwent a retrojejunal trans\u2010mesenteric pull\u2010through following elective laparoscopic left\u2010sided colorectal surgery between September 2019 and September 2020. Placing the retrojejunal window 15\u201320\u00a0cm distal to the duodenojejunal junction allows the transverse colon to pass via the most direct route through the base of the proximal jejunal mesentery to the distal colon or rectal stump instead of passing over the small bowel, yielding additional length for the anastomosis. An accompanying video demonstrates this technique for three different case scenarios.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven consecutive patients underwent this approach following colorectal resection; three had inherently shorter left colons, two had synchronous left\u2010sided tumours and two had inadvertent intraoperative marginal artery injury. There were no anastomotic complications or early postoperative morbidity related to the mesenteric window. The additional time taken for the procedure ranged from 5 to 35\u00a0min. The risk of complications related to extended left\u2010sided resections may possibly be reduced, although further studies are required to evaluate this.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Retrojejunal trans\u2010mesenteric pull\u2010through is a novel, but straightforward, safe and useful option for reducing tension in laparoscopic left\u2010sided colorectal anastomoses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15501","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T19:36:23Z","timestamp":1608406583000},"page":"1262-1267","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic retrojejunal trans\u2010mesenteric anastomosis for extended left\u2010sided colorectal resections \u2013 a new solution to an old problem"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8287-6812","authenticated-orcid":false,"given":"Isaac","family":"Seow\u2010En","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Singapore General Hospital Singapore City Singapore"},{"name":"Division of Colorectal Surgery China Medical University Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao\u2010Wei","family":"Ke","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery China Medical University Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng\u2010Chi","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery China Medical University Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6585-2437","authenticated-orcid":false,"given":"William Tzu\u2010Liang","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery China Medical University Hsinchu Hospital Hsinchu Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9325-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s101510170003"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1978.01370200098020"},{"key":"e_1_2_10_5_1","first-page":"404","article-title":"Suspension of the right colon permits without exception preservation of the anal sphincter after extensive colectomy of the transverse and left colon (including rectum). Technic \u2013 indications \u2013 immediate and late results","volume":"60","author":"Deloyers L","year":"1964","journal-title":"Lyon Chir"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15018"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-016-1313-9"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.15501","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T12:11:26Z","timestamp":1693570286000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.15501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,11]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1111\/codi.15501"],"URL":"https:\/\/doi.org\/10.1111\/codi.15501","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"type":"print","value":"1462-8910"},{"type":"electronic","value":"1463-1318"}],"subject":[],"published":{"date-parts":[[2021,1,11]]},"assertion":[{"value":"2020-10-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}