{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T14:12:53Z","timestamp":1794319973613,"version":"4.9.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Science and technology development fund of Nanjing medical university","award":["NMUB2018143"],"award-info":[{"award-number":["NMUB2018143"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We compared the advantages and disadvantages of modified triangular anastomosis and tubular anastomosis for digestive tract reconstruction in patients undergoing laparoscopic-assisted radical resection of right colon cancer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a retrospective cohort analysis of 92 cases of laparoscopic-assisted resection of right colon cancer, treated from June 2017 to June 2018, at the Huai\u2019an No. 1 People\u2019s Hospital in China. Patients were divided into a modified triangular anastomosis group (n\u2009=\u200933) and a tubular anastomosis group (n\u2009=\u200959). In the modified triangular anastomosis group, digestive tract reconstruction was conducted using side-to-side anastomosis of the ileo-transverse colon with a 60-mm linear stapler. The common entry hole was closed with a running suture. The tubular anastomosis group underwent end-to-side anastomosis of the ileo-transverse colon with a tubular stapler anchor placed at the end of the ileum.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>At baseline and perioperatively, there were no significant between-group differences in age, sex, body mass index, tumor location, pathological stage, or tumour size (P\u2009&gt;\u20090.05). There were also no significant between-group differences in operation time, estimated blood loss, the number of harvested lymph nodes, the first postoperative flatulence time, hospitalisation time, or postoperative complications (P\u2009&gt;\u20090.05); however, the total cost of hospitalization for the triangular anastomosis group was significantly lower than the tubular anastomosis group (P\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Modified triangular anastomosis is a safe and feasible procedure for laparoscopic-assisted radical resection of right colon cancer. These results affirm the safety and effectiveness of total laparoscopic radical resection of right colon cancer. Given the equivalent outcomes between the two procedures, the modified triangular procedure may be more a more cost-effective option for clinical application.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-021-01086-6","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T08:05:31Z","timestamp":1613030731000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of postoperative recovery of patients who underwent laparoscopic-assisted radical resection of right colon cancer with modified triangular anastomosis or tubular anastomosis: a retrospective cohort study"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9533-3913","authenticated-orcid":false,"given":"Tianfang","family":"Xia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenguo","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,10]]},"reference":[{"issue":"4","key":"1086_CR1","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1093\/gastro\/gou046","volume":"2","author":"R Sehgal","year":"2014","unstructured":"Sehgal R, Coffey JC. Historical development of mesenteric anatomy provides a universally applicable anatomic paradigm for complete\/total mesocolic excision. Gastroenterol Rep (Oxf). 2014;2(4):245\u201350.","journal-title":"Gastroenterol Rep (Oxf)"},{"issue":"15","key":"1086_CR2","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1200\/JCO.2011.38.3992","volume":"30","author":"NP West","year":"2012","unstructured":"West NP, Kobayashi H, Takahashi K, Perrakis A, Weber K, Hohenberger W, Sugihara K, Quirke P. Understanding optimal colonic cancer surgery: comparison of Japanese D3 resection and European complete mesocolic excision with central vascular ligation. J Clin Oncol. 2012;30(15):1763\u20139.","journal-title":"J Clin Oncol"},{"issue":"12","key":"1086_CR3","first-page":"A4224","volume":"57","author":"S Eiholm","year":"2010","unstructured":"Eiholm S, Ovesen H. Total mesocolic excision versus traditional resection in right-sided colon cancer\u2014method and increased lymph node harvest. Dan Med Bull. 2010;57(12):A4224.","journal-title":"Dan Med Bull"},{"issue":"2","key":"1086_CR4","doi-asserted-by":"publisher","first-page":"106","DOI":"10.4240\/wjgs.v8.i2.106","volume":"8","author":"LM Siani","year":"2016","unstructured":"Siani LM, Garulli G. Laparoscopic complete mesocolic excision with central vascular ligation in right colon cancer: a comprehensive review. World J Gastrointest Surg. 2016;8(2):106\u201314.","journal-title":"World J Gastrointest Surg"},{"issue":"4","key":"1086_CR5","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1111\/j.1463-1318.2008.01735.x","volume":"11","author":"W Hohenberger","year":"2009","unstructured":"Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation\u2014technical notes and outcome. Colorectal Dis. 2009;11(4):354\u201364; discussion 364-355.","journal-title":"Colorectal Dis"},{"issue":"2","key":"1086_CR6","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1001\/jamasurg.2013.3660","volume":"149","author":"YY Juo","year":"2014","unstructured":"Juo YY, Hyder O, Haider AH, Camp M, Lidor A, Ahuja N. Is minimally invasive colon resection better than traditional approaches?: First comprehensive national examination with propensity score matching. JAMA Surg. 2014;149(2):177\u201384.","journal-title":"JAMA Surg"},{"issue":"17","key":"1086_CR7","doi-asserted-by":"publisher","first-page":"1804","DOI":"10.1200\/JCO.2013.54.3694","volume":"32","author":"RH Kennedy","year":"2014","unstructured":"Kennedy RH, Francis EA, Wharton R, Blazeby JM, Quirke P, West NP, Dutton SJ. Multicenter randomized controlled trial of conventional versus laparoscopic surgery for colorectal cancer within an enhanced recovery programme: EnROL. J Clin Oncol. 2014;32(17):1804\u201311.","journal-title":"J Clin Oncol"},{"issue":"1","key":"1086_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.suronc.2012.09.002","volume":"22","author":"R Cirocchi","year":"2013","unstructured":"Cirocchi R, Trastulli S, Farinella E, Guarino S, Desiderio J, Boselli C, Parisi A, Noya G, Slim K. Intracorporeal versus extracorporeal anastomosis during laparoscopic right hemicolectomy\u2014systematic review and meta-analysis. Surg Oncol. 2013;22(1):1\u201313.","journal-title":"Surg Oncol"},{"issue":"1","key":"1086_CR9","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s10151-013-1029-4","volume":"18","author":"P Carnuccio","year":"2014","unstructured":"Carnuccio P, Jimeno J, Pares D. Laparoscopic right colectomy: a systematic review and meta-analysis of observational studies comparing two types of anastomosis. Tech Coloproctol. 2014;18(1):5\u201312.","journal-title":"Tech Coloproctol"},{"issue":"9","key":"1086_CR10","doi-asserted-by":"publisher","first-page":"3823","DOI":"10.1007\/s00464-015-4684-x","volume":"30","author":"R Shapiro","year":"2016","unstructured":"Shapiro R, Keler U, Segev L, Sarna S, Hatib K, Hazzan D. Laparoscopic right hemicolectomy with intracorporeal anastomosis: short- and long-term benefits in comparison with extracorporeal anastomosis. Surg Endosc. 2016;30(9):3823\u20139.","journal-title":"Surg Endosc"},{"issue":"1","key":"1086_CR11","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1503\/cjs.001914","volume":"58","author":"AS Vergis","year":"2015","unstructured":"Vergis AS, Steigerwald SN, Bhojani FD, Sullivan PA, Hardy KM. Laparoscopic right hemicolectomy with intracorporeal versus extracorporeal anastamosis: a comparison of short-term outcomes. Can J Surg. 2015;58(1):63\u20138.","journal-title":"Can J Surg"},{"issue":"5","key":"1086_CR12","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1089\/lap.2012.0420","volume":"23","author":"F Marchesi","year":"2013","unstructured":"Marchesi F, Pinna F, Percalli L, Cecchini S, Ricco M, Costi R, Pattonieri V, Roncoroni L. Totally laparoscopic right colectomy: theoretical and practical advantages over the laparo-assisted approach. J Laparoendosc Adv Surg Tech A. 2013;23(5):418\u201324.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"7","key":"1086_CR13","doi-asserted-by":"publisher","first-page":"2613","DOI":"10.1007\/s00464-013-2799-5","volume":"27","author":"C Magistro","year":"2013","unstructured":"Magistro C, Lernia SD, Ferrari G, Zullino A, Mazzola M, De Martini P, De Carli S, Forgione A, Bertoglio CL, Pugliese R. Totally laparoscopic versus laparoscopic-assisted right colectomy for colon cancer: is there any advantage in short-term outcomes? A prospective comparative assessment in our center. Surg Endosc. 2013;27(7):2613\u20138.","journal-title":"Surg Endosc"},{"issue":"7","key":"1086_CR14","doi-asserted-by":"publisher","first-page":"1544","DOI":"10.1007\/s10620-014-3039-0","volume":"59","author":"X He","year":"2014","unstructured":"He X, Chen Z, Huang J, Lian L, Rouniyar S, Wu X, Lan P. Stapled side-to-side anastomosis might be better than handsewn end-to-end anastomosis in ileocolic resection for Crohn\u2019s disease: a meta-analysis. Dig Dis Sci. 2014;59(7):1544\u201351.","journal-title":"Dig Dis Sci"},{"issue":"1","key":"1086_CR15","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1007\/s00464-015-4162-5","volume":"30","author":"J Abrisqueta","year":"2016","unstructured":"Abrisqueta J, Ibanez N, Lujan J, Hernandez Q, Parrilla P. Intracorporeal ileocolic anastomosis in patients with laparoscopic right hemicolectomy. Surg Endosc. 2016;30(1):65\u201372.","journal-title":"Surg Endosc"},{"key":"1086_CR16","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1186\/1477-7819-12-306","volume":"12","author":"Z Liu","year":"2014","unstructured":"Liu Z, Wang G, Yang M, Chen Y, Miao D, Muhammad S, Wang X. Ileocolonic anastomosis after right hemicolectomy for colon cancer: functional end-to-end or end-to-side? World J Surg Oncol. 2014;12:306.","journal-title":"World J Surg Oncol"},{"issue":"2","key":"1086_CR17","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/j.soc.2018.11.004","volume":"28","author":"KO Wells","year":"2019","unstructured":"Wells KO, Senagore A. Minimally invasive colon cancer surgery. Surg Oncol Clin N Am. 2019;28(2):285\u201396.","journal-title":"Surg Oncol Clin N Am"},{"issue":"1","key":"1086_CR18","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3322\/caac.21332","volume":"66","author":"RL Siegel","year":"2016","unstructured":"Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin. 2016;66(1):7\u201330.","journal-title":"CA Cancer J Clin"},{"issue":"8","key":"1086_CR19","doi-asserted-by":"publisher","first-page":"2394","DOI":"10.1007\/s00464-014-3940-9","volume":"29","author":"JT Liang","year":"2015","unstructured":"Liang JT, Lai HS, Huang J, Sun CT. Long-term oncologic results of laparoscopic D3 lymphadenectomy with complete mesocolic excision for right-sided colon cancer with clinically positive lymph nodes. Surg Endosc. 2015;29(8):2394\u2013401.","journal-title":"Surg Endosc"},{"issue":"9","key":"1086_CR20","doi-asserted-by":"publisher","first-page":"2422","DOI":"10.1245\/s10434-011-1650-2","volume":"18","author":"CC Stucky","year":"2011","unstructured":"Stucky CC, Pockaj BA, Novotny PJ, Sloan JA, Sargent DJ, O\u2019Connell MJ, Beart RW, Skibber JM, Nelson H, Weeks JC. Long-term follow-up and individual item analysis of quality of life assessments related to laparoscopic-assisted colectomy in the COST trial 93\u201346-53 (INT 0146). Ann Surg Oncol. 2011;18(9):2422\u201331.","journal-title":"Ann Surg Oncol"},{"issue":"5","key":"1086_CR21","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1007\/s10151-013-0998-7","volume":"17","author":"C Tarta","year":"2013","unstructured":"Tarta C, Bishawi M, Bergamaschi R. Intracorporeal ileocolic anastomosis: a review. Tech Coloproctol. 2013;17(5):479\u201385.","journal-title":"Tech Coloproctol"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01086-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12893-021-01086-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01086-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T08:08:17Z","timestamp":1613030897000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01086-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,10]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1086"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01086-6","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,10]]},"assertion":[{"value":"9 January 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This retrospective study was approved by the Institutional Ethics Committee of The Affiliated Huaian No. 1 People\u2019s Hospital of Nanjing Medical University. Written informed consent was obtained before surgery from all patients.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"This case is consented for publication. Written consent for publication was obtained for all potentially identifying data and accompanying images and I state that this is available for review by the editor of the journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no financial and non-financial conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"77"}}