{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:19:07Z","timestamp":1778221147103,"version":"3.51.4"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the safety and efficacy of ileotransverse colon Overlap and \u03c0-shaped anastomosis in laparoscopic radical right hemicolectomy (LRRH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective RCT enrolled 120 right colon cancer patients (Dec 2022\u2013Dec 2024) randomized to Overlap (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200960) or \u03c0-shaped (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200960) group. Perioperative indicators, inflammatory\/nutritional markers, gastrointestinal function recovery, 30-day complications (clinical anastomotic leakage, Clavien-Dindo\u2009\u2265\u2009II) and hospital stay were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant preoperative baseline differences were found between groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). The Overlap group had shorter anastomosis\/operative time, milder postoperative inflammation, faster nutritional\/gastrointestinal recovery, and earlier liquid diet tolerance (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01). Clinical anastomotic leakage incidence showed no intergroup difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overlap anastomosis is a preferable reconstruction method for LRRH, with advantages in short-term recovery. However, this study failed to demonstrate its superiority in reducing clinical anastomotic leakage due to limited sample size and statistical power, and results should be interpreted with caution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1782636","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T05:52:43Z","timestamp":1778219563000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical study on the efficacy comparison between ileotransverse colon overlap anastomosis and \u03c0-shaped anastomosis in laparoscopic radical right hemicolectomy"],"prefix":"10.3389","volume":"13","author":[{"given":"Wan","family":"Fangxin","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, the Second Hospital of Tianjin Medical University","place":["Tianjin, 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