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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 113423
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.113423
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.113423
Taming colonic anastomotic leakage: Wisdom from the ancient Chinese legend of Yu the Great
Chao Jing, Kun Liu, Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Author contributions: Jing C conducted the literature review and wrote the revised draft; Liu K contributed to the conception and design of the work, and critically reviewed the manuscript. All authors read and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Kun Liu, MD, Associate Professor, Deputy Director, Principal Investigator, Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, No. 95 Yongan Road, Beijing 100050, China. liukun@ccmu.edu.cn
Received: August 25, 2025
Revised: September 22, 2025
Accepted: October 23, 2025
Published online: December 27, 2025
Processing time: 122 Days and 7 Hours
Revised: September 22, 2025
Accepted: October 23, 2025
Published online: December 27, 2025
Processing time: 122 Days and 7 Hours
Core Tip
Core Tip: Yu the Great did not conquer water by building higher walls; he tamed it by carving new paths. Colonic anastomotic leakage prevention must likewise redirect, not exclude, intestinal flow. Despite promising results from devices that practice Yu’s diversion concept - including the C-seal, SafeHeal Colovac+, the biodegradable diverting stent, and water-inflatable balloons - accelerating breakthroughs in non-stoma strategies remains crucial to transforming anastomotic leakage management.