{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:46:42Z","timestamp":1743727602016},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T00:00:00Z","timestamp":1572220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T00:00:00Z","timestamp":1572220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n              <jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The safety and feasibility of laparoscopic colectomy for T4 colorectal cancer remain controversial. We believe that setting a \u201cGoal\u201d that will guide the surgeons in returning from the deep layer could be the key to safe en bloc resection of neighboring organs. For descending colon cancer, the cranial-first approach makes it possible to clearly visualize the pancreas and origin of the transverse mesocolon, leading to safe splenic flexure mobilization and complete mesocolic excision, which is the strongest advantage of this approach.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 75-year-old woman was diagnosed with T4 descending colon cancer invading the Gerota\u2019s fascia. We performed laparoscopic left colectomy using the cranial-first approach to set a \u201cGoal\u201d at the inferior border of the pancreas for safe resection of the Gerota\u2019s fascia. The total operative time was 233\u2009min, and the estimated blood loss was 98\u2009ml. She was discharged after surgery without postoperative complications. Pathological findings revealed the invasion into the Gerota\u2019s fascia, and the resection margin was negative for cancer.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The cranial-first approach of laparoscopic left colectomy appears to be safe and feasible and could be a promising method for selected patients with T4 descending colon cancer invading the Gerota\u2019s fascia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-019-0720-8","type":"journal-article","created":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T14:05:35Z","timestamp":1572271535000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cranial-first approach of laparoscopic left colectomy for T4 descending colon cancer invading the Gerota\u2019s fascia"],"prefix":"10.1186","volume":"5","author":[{"given":"Atsushi","family":"Ogura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryutaro","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Kawai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Takagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyotaka","family":"Kawai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsukasa","family":"Aritake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsuki","family":"Nagano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoaki","family":"Kamiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,10,28]]},"reference":[{"key":"720_CR1","doi-asserted-by":"publisher","first-page":"2749","DOI":"10.1007\/s00464-010-1039-5","volume":"24","author":"T Akiyoshi","year":"2010","unstructured":"Akiyoshi T, Kuroyanagi H, Oya M, Ueno M, Fujimoto Y, Konishi T, et al. Factors affecting difficulty of laparoscopic surgery for left-sided colon cancer. Surg Endosc. 2010;24:2749\u201354.","journal-title":"Surg Endosc"},{"issue":"7","key":"720_CR2","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1007\/s10151-019-02010-0","volume":"23","author":"A Ogura","year":"2019","unstructured":"Ogura A, Kobayashi R, Aritake T, Maeda T, Kawai K, Takagi K, et al. Cranial-first approach for laparoscopic surgery with splenic flexure mobilization. Tech Coloproctol. 2019;23(7):693\u20134 Epub ahead of print.","journal-title":"Tech Coloproctol"},{"key":"720_CR3","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/S1470-2045(08)70310-3","volume":"10","author":"M Buunen","year":"2009","unstructured":"Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Haglind E, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10:44\u201352.","journal-title":"Lancet Oncol"},{"key":"720_CR4","doi-asserted-by":"publisher","first-page":"1718","DOI":"10.1016\/S0140-6736(05)66545-2","volume":"365","author":"PJ Guillou","year":"2005","unstructured":"Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365:1718\u201326.","journal-title":"Lancet"},{"key":"720_CR5","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1097\/SLA.0b013e31818b7595","volume":"248","author":"PJ Hewett","year":"2008","unstructured":"Hewett PJ, Allardyce RA, Bagshaw PF, Frampton CM, Frizelle FA, Rieger NA, et al. Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg. 2008;248:728\u201338.","journal-title":"Ann Surg"},{"key":"720_CR6","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1016\/S1470-2045(10)70131-5","volume":"11","author":"SB Kang","year":"2010","unstructured":"Kang SB, Park JW, Jeong SY, Nam BH, Choi HS, Kim DW, et al. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol. 2010;11:637\u201345.","journal-title":"Lancet Oncol"},{"key":"720_CR7","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1002\/ags3.12245","volume":"3","author":"S Fujii","year":"2019","unstructured":"Fujii S, Akagi T, Inomata M, Katayama H, Mizusawa J, Ota M, et al. Transitional impact of short- and long-term outcomes of a randomized controlled trial to evaluate laparoscopic versus open surgery for colorectal cancer from Japan Clinical Oncology Group Study JCOG0404. Ann Gastroenterol Surg. 2019;3:301\u20139.","journal-title":"Ann Gastroenterol Surg"},{"key":"720_CR8","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1097\/DCR.0000000000000641","volume":"60","author":"AE Feinberg","year":"2017","unstructured":"Feinberg AE, Chesney TR, Acuna SA, Sammour T, Quereshy FA. Oncologic outcomes following laparoscopic versus open resection of pT4 colon cancer: a systematic review and meta-analysis. Dis Colon Rectum. 2017;60:116\u201325.","journal-title":"Dis Colon Rectum"},{"key":"720_CR9","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1007\/s00595-017-1621-8","volume":"48","author":"T Yamanashi","year":"2018","unstructured":"Yamanashi T, Nakamura T, Sato T, Naito M, Miura H, Tsutsui A, et al. Laparoscopic surgery for locally advanced T4 colon cancer: the long-term outcomes and prognostic factors. Surg Today. 2018;48:534\u201344.","journal-title":"Surg Today"},{"key":"720_CR10","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1007\/s00384-019-03320-3","volume":"34","author":"T Aoki","year":"2019","unstructured":"Aoki T, Matsuda T, Hasegawa H, Yamashita K, Sumi Y, Ishida R, et al. Outcomes of laparoscopic surgery for pathological T4 colon cancer. Int J Color Dis. 2019;34:1259\u201365.","journal-title":"Int J Color Dis"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-019-0720-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-019-0720-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-019-0720-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:05:16Z","timestamp":1603757116000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-019-0720-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,28]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["720"],"URL":"https:\/\/doi.org\/10.1186\/s40792-019-0720-8","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,28]]},"assertion":[{"value":"19 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 October 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was carried out in accordance with the principles of the Declaration of Helsinki.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report, and her anonymity has been protected.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"159"}}