{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:03:57Z","timestamp":1785841437108,"version":"3.56.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T00:00:00Z","timestamp":1623283200000},"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":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Objective and reproducible quality measures of complete mesocolic excision (CME) for colon cancer are not currently available. This study aimed to measure the inferior mesenteric stump length following CME for sigmoid colon cancer and explore surgical, pathological and oncological outcomes in patients with a stump length of &lt;10\u00a0mm vs. \u226510\u00a0mm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a single\u2010centre, retrospective cohort study including patients undergoing minimally invasive surgery for sigmoid colon cancer between May 2013 and May 2015. Follow\u2010up CT scans were reviewed, and a vascular stump cut\u2010off of &lt;10\u00a0mm for adequate central ligation of the inferior mesenteric artery was applied. Differences in perioperative, histopathological and oncological outcome parameters (overall, disease\u2010free and recurrence\u2010free survival) were explored between &lt;10\u00a0mm vs. \u226510\u00a0mm groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 127 patients (43% female) with a median age of 68\u00a0years were included. The median follow\u2010up time was 68\u00a0months. CT measurements showed good interrater agreement (90% absolute agreement) and reliability among raters (kappa\u00a0=\u00a00.77, 95% CI 0.53\u20131.00, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). A stump length \u226510\u00a0mm was associated with longer operating time (150 vs. 180\u00a0min, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.021), intramesocolic resection (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.008), and a shorter distance from the bowel wall to vascular tie (120 vs. 102\u00a0mm, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An arterial stump length \u226510\u00a0mm in sigmoid resection for colon cancer was associated with key clinical quality measures. Measurement of arterial stump length using routine follow\u2010up CT may serve as a quality indicator of vascular ligation in CME surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15723","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T18:25:41Z","timestamp":1620757541000},"page":"2030-2040","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Routine CT evaluation of central vascular ligation in patients undergoing complete mesocolic excision for sigmoid colon cancer"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0081-5093","authenticated-orcid":false,"given":"Rasmus Peuliche","family":"Vogelsang","sequence":"first","affiliation":[{"name":"Center for Surgical Science Department of Surgery Zealand University Hospital Koege Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikail","family":"G\u00f6genur","sequence":"additional","affiliation":[{"name":"Center for Surgical Science Department of Surgery Zealand University Hospital Koege Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ditte","family":"Dencker","sequence":"additional","affiliation":[{"name":"Department of Radiology Zealand University Hospital Koege Denmark"},{"name":"Department of Diagnostic Radiology Rigshospitalet Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid Louise","family":"Bj\u00f8rn Bennedsen","sequence":"additional","affiliation":[{"name":"Center for Surgical Science Department of Surgery Zealand University Hospital Koege Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorte","family":"Levin Pedersen","sequence":"additional","affiliation":[{"name":"Department of Radiology Zealand University Hospital Koege Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"G\u00f6genur","sequence":"additional","affiliation":[{"name":"Center for Surgical Science Department of Surgery Zealand University Hospital Koege Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32154-2"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2015.1131331"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70181-5"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.24.1448"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01735.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.38.3992"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-013-1818-2"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000658"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(14)71168-4"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-016-5720-3"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(19)30485-1"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02896.x"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1480-5"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0284185115583033"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.4251\/wjgo.v11.i3.208"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2019.1566770"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13756"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496918812198"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1772-0"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13238"},{"key":"e_1_2_12_23_1","volume-title":"The American Joint Committee on Cancer. 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