{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T19:13:13Z","timestamp":1769541193802,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical management of Crohn\u2018s disease remains challenging because of disease complexity and substantial variability in operative techniques across centres. Despite the widespread adoption of minimally invasive surgery, laparoscopic ileocolic resection is still characterized by limited technical standardization and heterogeneous perioperative outcomes. Unlike oncological colorectal surgery, inflammatory bowel disease surgery lacks widely accepted, reproducible technical frameworks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe a standardized five\u2010step, three\u2010trocar laparoscopic ileocolic resection for Crohn\u2018s disease, aimed at improving reproducibility, safety, and operative efficiency in both elective and emergency settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This technical note details a structured laparoscopic approach based on: (1) systematic intraoperative bowel assessment, (2) a bottom\u2010up medial\u2010to\u2010lateral dissection, (3) mandatory identification of retroperitoneal structures, (4) selective mesenteric division using a \u2018clip\u2010and\u2010go\u2019 technique with preservation of the main ileocolic vessels and (5) a standardized intracorporeal isoperistaltic side\u2010to\u2010side anastomosis. The technique is illustrated by a dedicated surgical video, including complex inflammatory scenarios such as thickened mesentery and abscess formation. A consecutive cohort of patients undergoing laparoscopic ileocolic resection for Crohn\u2018s disease between 2020 and 2025 at a tertiary IBD referral centre was retrospectively analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 110 patients were included. No conversions to open surgery occurred. The mean operative time for isolated ileocolic resection was 116\u2009minutes. The anastomotic dehiscence rate was 2.7%, supporting the feasibility and safety of the standardized laparoscopic workflow in real\u2010life Crohn\u2018s disease surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The proposed five\u2010step, three\u2010trocar laparoscopic ileocolic resection represents a reproducible and safe technical framework for Crohn\u2018s disease surgery. This standardized approach may reduce intraoperative variability, facilitate surgical training, and contribute to more consistent perioperative outcomes in inflammatory bowel disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70360","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T04:37:02Z","timestamp":1767933422000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A standardized five\u2010step three\u2010trocar laparoscopic ileocolic resection for Crohn's disease: A 5\u2010year real\u2010life experience from a tertiary\n                    <scp>IBD<\/scp>\n                    centre"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2401-3434","authenticated-orcid":false,"given":"Carlo Alberto","family":"Manzo","sequence":"first","affiliation":[{"name":"Division of General and HPB Surgery Rho Memorial Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"De Carlo","sequence":"additional","affiliation":[{"name":"Division of General and HPB Surgery Rho Memorial Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Division of General and HPB Surgery Rho Memorial Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caterina","family":"Baldi","sequence":"additional","affiliation":[{"name":"Division of General and HPB Surgery Rho Memorial Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca Matteo","family":"Sampietro","sequence":"additional","affiliation":[{"name":"Division of General and HPB Surgery Rho Memorial Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izab081"},{"key":"e_1_2_10_3_1","article-title":"Management of Crohn's disease","volume":"13","author":"Tilg H","year":"2020","journal-title":"Clin Exp Gastroenterol"},{"issue":"7","key":"e_1_2_10_4_1","first-page":"1690","article-title":"AGA technical review on the medical management of Crohn's disease","volume":"150","author":"Farraye FA","year":"2016","journal-title":"Gastroenterology"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010019\u201003358\u20103"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010020\u201000918\u2010z"},{"issue":"1","key":"e_1_2_10_7_1","article-title":"Cutting edge: a comprehensive guide to colorectal cancer surgery in inflammatory bowel diseases","volume":"12","author":"Zong Z","year":"2024","journal-title":"Diseases"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco\u2010jcc\/jjae089"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040297"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365521.2017.1386711"},{"key":"e_1_2_10_12_1","unstructured":"ECCO.Outcomes in IBD surgery: Are they adequate?Available from:https:\/\/www.ecco\u2010ibd.eu\/publications\/ecco\u2010news\/item\/2024\u20103\u2010outcomes\u2010in\u2010ibd\u2010surgery\u2010are\u2010they\u2010adequate.html2024."},{"issue":"8","key":"e_1_2_10_13_1","first-page":"1782","article-title":"Quality of life in inflammatory bowel disease: current concepts and future directions","volume":"22","author":"Mikocka\u2010Walus A","year":"2016","journal-title":"Inflamm Bowel Dis"},{"issue":"2","key":"e_1_2_10_14_1","first-page":"S47","article-title":"Quality control in IBD: the need for standardization of care","volume":"11","author":"Ferrante M","year":"2017","journal-title":"J Crohns Colitis"}],"container-title":["Colorectal 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