{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T05:59:08Z","timestamp":1769925548997,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extended left hemicolectomies may result in a short transverse colon and excessive mesenteric tension, precluding a tension\u2010free anastomosis. The Deloyers procedure is a colonic rotation technique that facilitates anastomosis without total colectomy. This study aimed to evaluate short\u2010term outcomes following the Deloyers procedure in patients undergoing left\u2010sided colorectal resections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic review and meta\u2010analysis were conducted using PubMed, Scopus and the Cochrane Central Register to identify observational studies published up to March 2025. Continuous outcomes were pooled as means with 95% confidence intervals (CIs) and binary outcomes as proportions. Heterogeneity was assessed using the\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic and Cochrane\n                      <jats:italic>Q<\/jats:italic>\n                      \u2010test. All analyses were performed using R (v4.4.1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen studies including 287 patients undergoing the Deloyers procedure were analysed. The pooled mean operating time was 256.7\u2009min (95% CI, 188.5\u2013349.6), intraoperative blood loss was 327.5\u2009mL (95% CI, 227.9\u2013470.6) and the perioperative transfusion rate was 25% (95% CI, 16%\u201335%). Postoperative recovery outcomes included a mean hospital stay of 9.9\u2009days (95% CI, 7.6\u201312.9), an ileus rate of 15% (95% CI, 7%\u201330%) and an average of 2.9 bowel movements per day (95% CI, 2.4\u20133.5). Reported complications included Clavien\u2013Dindo grade I\u2013II events in 36% of patients (95% CI, 14%\u201366%) and grade III\u2013IV events in 12% (95% CI, 5%\u201324%). The pooled rate of surgical site infection was 13% (95% CI, 4%\u201334%), small bowel obstruction 6% (95% CI, 0%\u201335%) and anastomotic leakage 1% (95% CI, 0%\u20137%). The overall mortality rate was 0% (95% CI, 0%\u20131%), with two deaths reported in patients with significant comorbidities and advanced oncological disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Deloyers procedure is a feasible surgical alternative in patients requiring extended left\u2010sided colectomy, providing acceptable operative times, functional recovery and complication rates. It may help avoid total colectomy in anatomically complex cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70346","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T03:38:51Z","timestamp":1766461131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of the Deloyers procedure: A systematic review and meta\u2010analysis of proportions"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7687-3073","authenticated-orcid":false,"given":"Lucas Monteiro","family":"Delgado","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais (UFMG)  Belo Horizonte MG Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6086-4240","authenticated-orcid":false,"given":"Gabriel Leal","family":"Barone","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Caetano Do Sul  S\u00e3o Caetano do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2881-1305","authenticated-orcid":false,"given":"Giulia Luiza","family":"Garcia","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Caetano Do Sul  S\u00e3o Caetano do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1851-7376","authenticated-orcid":false,"given":"Henrique Vaz","family":"da Mota","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Caetano Do Sul  S\u00e3o Caetano do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9318-5697","authenticated-orcid":false,"given":"Giovanna Barbaroto","family":"Pilon","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Caetano Do Sul  S\u00e3o Caetano do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8437-9682","authenticated-orcid":false,"given":"Lucas Soares de Souza Pinto","family":"Guedes","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Caetano Do Sul  S\u00e3o Caetano do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2986-8164","authenticated-orcid":false,"given":"S\u00e9rgio Mazzola Poli","family":"de Figueiredo","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2960-3810","authenticated-orcid":false,"given":"Bernardo Fontel","family":"Pompeu","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Caetano Do Sul  S\u00e3o Caetano do Sul Brazil"},{"name":"Surgery Department Hospital Heli\u00f3polis  S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7225-7145","authenticated-orcid":false,"given":"Fernanda Bellotti","family":"Formiga","sequence":"additional","affiliation":[{"name":"Surgery Department Hospital Heli\u00f3polis  S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18084"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021421"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182423f83"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003597"},{"key":"e_1_2_16_6_1","unstructured":"HigginsJPT ThomasJ ChandlerJ CumpstonM LiT PageMJ et\u00a0al.Cochrane Handbook for Systematic Reviews of Interventions version 6.4 (updated August 2023) [Internet]. 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