{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:32:09Z","timestamp":1787776329325,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Reduced port laparoscopic Well's procedure (RPLWP) is a novel technique used to overcome the limitations of single-incision laparoscopic surgery. The aim of this study was to compare outcomes between RPLWP and conventional laparoscopic Well's procedure (CLWP) and to investigate the learning curve of RPLWP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>From January 2006 to March 2017, a retrospective review of a prospectively maintained laparoscopic surgery database was performed to identify patients had undergone CLWP and RPLWP. From these patients, each of 10 cases were manually matched for age, sex, body mass index. From January 2006 to March 2015, CLWP was used for all procedures whereas, from April 2015, RPLWP was routinely performed as a standard procedure for rectal prolapse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No significant differences were observed between the two groups in terms of operating time, blood loss, intraoperative complications, and conversion to CLWP or open rectopexy. Based on the postoperative outcomes, the hospital stay was significantly shorter in the RPLWP group. The estimated learning curve for RPLWP was fitted and defined as y = 278.47\n                      <jats:sup>e-0.064x<\/jats:sup>\n                      with R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.838; therefore, a significant decrease in operative time was observed by using the more advanced surgical procedure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>RPLWP is an effective, safe, minimally invasive procedural alternative to CLWP with no disadvantage for patients when a skilled surgeon performs it.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_100_18","type":"journal-article","created":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T05:32:48Z","timestamp":1535952768000},"page":"316-319","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Retrospective case-matched study between reduced port laparoscopic rectopexy and conventional laparoscopic rectopexy for rectal prolapse"],"prefix":"10.4103","volume":"15","author":[{"given":"Akira","family":"Umemura","sequence":"first","affiliation":[{"name":"Department of Surgery, Iwate Medical University, Morioka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Suto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morioka Municipal Hospital, Morioka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisataka","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morioka Municipal Hospital, Morioka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seika","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morioka Municipal Hospital, Morioka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumitaka","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morioka Municipal Hospital, Morioka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Iwate Medical University, Morioka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250523","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1007\/s00464-004-9088-2","article-title":"Laparoscopic rectopexy for full-thickness rectal prolapse: A single-institution retrospective study evaluating surgical outcome","volume":"19","author":"Lechaux","year":"2005","journal-title":"Surg Endosc"},{"key":"R2-20250523","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s10151-011-0798-x","article-title":"Focus on abdominal rectopexy for full-thickness rectal prolapse: Meta-analysis of literature","volume":"16","author":"Cadeddu","year":"2012","journal-title":"Tech Coloproctol"},{"key":"R3-20250523","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.amjsurg.2010.08.034","article-title":"Single-incision laparoscopic sigmoidectomy and rectopexy case series","volume":"202","author":"Adair","year":"2011","journal-title":"Am J Surg"},{"key":"R4-20250523","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1007\/s00595-014-0963-8","article-title":"Single-incision laparoscopic rectopexy (Wells) with simultaneous sigmoidectomy in a case of complete rectal prolapse and a sigmoid tumor: Report of a case","volume":"45","author":"Miyo","year":"2015","journal-title":"Surg Today"},{"key":"R5-20250523","first-page":"123","article-title":"Single port laparoscopic mesh rectopexy","volume":"11","author":"Ahmed","year":"2016","journal-title":"Prz Gastroenterol"},{"key":"R6-20250523","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ijgo.2013.06.036","article-title":"Learning curve analysis of the first 100 robotic-assisted laparoscopic hysterectomies performed by a single surgeon","volume":"124","author":"Lin","year":"2014","journal-title":"Int J Gynaecol Obstet"},{"key":"R7-20250523","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1002\/bjs.9922","article-title":"Learning curve and outcome of laparoscopic transcystic common bile duct exploration for choledocholithiasis","volume":"102","author":"Zhu","year":"2015","journal-title":"Br J Surg"},{"key":"R8-20250523","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/BF00316999","article-title":"Functional results after treatment of rectal prolapse with rectopexy and sigmoid resection","volume":"19","author":"Huber","year":"1995","journal-title":"World J Surg"},{"key":"R9-20250523","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1007\/s10350-008-9365-6","article-title":"Long-term functional outcomes after laparoscopic and open rectopexy for the treatment of rectal prolapse","volume":"51","author":"Byrne","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"R10-20250523","article-title":"Comparison of single-incision laparoscopic cholecystectomy versus needlescopic cholecystectomy: A single institutional randomized clinical trial","author":"Umemura","year":"2018","journal-title":"Dig Surg"},{"key":"R11-20250523","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.amjsurg.2017.03.002","article-title":"Single-incision laparoscopy versus standard laparoscopy for colorectal surgery: A systematic review and meta-analysis","volume":"214","author":"Hoyuela","year":"2017","journal-title":"Am J Surg"},{"key":"R12-20250523","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1007\/s11605-017-3520-0","article-title":"Short-term outcomes of single-incision versus conventional laparoscopic surgery for colorectal diseases: Meta-analysis of randomized and prospective evidence","volume":"21","author":"Li","year":"2017","journal-title":"J Gastrointest Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_100_18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:03:59Z","timestamp":1787774639000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_100_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_100_18","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]},"assertion":[{"value":"2018-04-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}