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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2025; 17(11): 111117
Published online Nov 16, 2025. doi: 10.4253/wjge.v17.i11.111117
Published online Nov 16, 2025. doi: 10.4253/wjge.v17.i11.111117
Comparison of different anastomosis methods in laparoscopically assisted left hemicolectomy for colon cancer
Fan Li, Chuan-Hui Lu, Guo-Xian Guan, Department of Colorectal Surgery, The First Affiliated Hospital of Xiamen University, 361001 Xiamen, Fujian Province, China
Fan Li, Chuan-Hui Lu, The School of Clinical Medicine, Fujian Medical University, Xiamen 361000, Fujian Province, China
Yi-Lin Xie, Hai-Xing Wang, Department of Endoscopy Center, The First Affiliated Hospital of Xiamen University, Xiamen 361000, Fujian Province, China
Dong Xu, Department of Gastroenterology, The First Affiliated Hospital of Xiamen University, Xiamen 360001, Fujian Province, China
Jun-Wei Wu, Department of Colorectal Surgery, The Graduate School of Fujian Medical University, Xiamen 360001, Fujian Province, China
Jin-Xue Ma, Department of General Surgery, Wuzhong People's Hospital of Ningxia Medical University, Ningxia 751199, Gansu Province, China
Co-first authors: Fan Li and Yi-Lin Xie.
Author contributions: Wang HX contributed to conceptualization; Li F contributed to curation, formal analysis, writing–original draft, review and editing; Xie YL, Xu D, Wu JW, Ma JX, Lu CH contributed to investigation; Guan GX contributed to methodology, project administration, resources.
Institutional review board statement: The study was conducted in accordance with the Declaration of Helsinki and was approved by the ethics board of the First Affiliated Hospital of Xiamen University and the First Affiliated Hospital of Fujian Medical University [No. 2024 Scientific Research Ethics Examination Number (014)].
Informed consent statement: Informed consent was obtained from all individual participants included in the study. For participants unable to provide consent (e.g., due to incapacity), written informed consent was obtained from their legally authorized representatives. The need for informed consent was waived by the Institutional Review Board for retrospective analyses involving de-identified data, in accordance with ethical regulations.
Conflict-of-interest statement: All authors declare no conflicts of interest related to this work, including but not limited to financial ties, personal relationships, or professional affiliations that could bias the study design, data interpretation, or manuscript preparation.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request, subject to ethical restrictions regarding patient privacy. De-identified data will be shared to the extent permitted by the Institutional Review Board.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hai-Xing Wang, Director, Professor, Department of Endoscopy Center, The First Affiliated Hospital of Xiamen University, No. 55 Zhenhai Road, Xiamen 361000, Fujian Province, China. wanghaixing0908@126.com
Received: June 26, 2025
Revised: August 21, 2025
Accepted: October 22, 2025
Published online: November 16, 2025
Processing time: 143 Days and 22.8 Hours
Revised: August 21, 2025
Accepted: October 22, 2025
Published online: November 16, 2025
Processing time: 143 Days and 22.8 Hours
Core Tip
Core Tip: Both laparoscopically assisted left hemicolectomy with end-to-side anastomosis (ESA) and side-to-side anastomosis are feasible and offer comparable long-term outcomes. ESA may reduce the need for splenic flexure dissociation, particularly when the tumor is located at the descending colon or its junction with the sigmoid colon.