{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:54:06Z","timestamp":1747184046812,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"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":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>During surgery for mid\u2010transverse colon cancer (MTC), surgeons often face the dilemma of whether to mobilize the hepatic or splenic flexure. There is no established optimal minimally invasive surgical procedure for MTC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present our novel minimally invasive surgical technique, called the \u2018moving the left colon\u2019 technique for MTC, along with a video demonstration. The procedure involves four main steps: (i) mobilization of the splenic flexure using a medial\u2010to\u2010lateral approach, (ii) dissection of lymph nodes around the middle colic artery from the left side of the superior mesenteric artery approach, (iii) separation of the pancreas and transverse mesocolon and (iv) \u2018moving the left colon\u2019 and performing an intracorporeal anastomosis. By mobilizing the splenic flexure, anatomical landmarks are revealed, which enables safer dissection. Combining this technique with intracorporeal anastomosis allows for a safe and easy anastomosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between April 2021 and January 2023, a single\u2010skilled colorectal surgeon performed laparoscopic transverse colectomies using our new approach on three consecutive patients with MTC. The patients had a median age of 75\u2009years (range 46\u201389\u2009years). The median operative time was 194\u2009min (range 193\u2013228\u2009min) and blood loss was 8\u2009mL (range 0\u201320\u2009mL). None of the patients experienced any perioperative complications and the median postoperative hospital stay was 6\u2009days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We introduced a novel approach for laparoscopic surgery for MTC. This technique can be performed safely and may help standardize minimally invasive surgery for MTC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16653","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T05:07:21Z","timestamp":1688447241000},"page":"1713-1717","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Novel approach toward minimally invasive surgery for mid\u2010transverse colon cancer: \u2018moving the left colon\u2019 technique"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3049-0904","authenticated-orcid":false,"given":"Kenta","family":"Iguchi","sequence":"first","affiliation":[{"name":"Department of Surgery, Gastroenterological Center Yokohama City University Medical Center  Yokohama Japan"},{"name":"Department of Surgery Yokohama City University  Yokohama 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