The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer

Tao-Wei Ke , Christian Ross Geniales , William Tzu-Liang Chen

Mini-invasive Surgery ›› 2018, Vol. 2 ›› Issue (1) : 35

PDF
Mini-invasive Surgery ›› 2018, Vol. 2 ›› Issue (1) :35 DOI: 10.20517/2574-1225.2018.46
Review
Review

The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer

Author information +
History +
PDF

Abstract

Laparoscopic surgery for the treatment of colorectal cancer has gained an enormous advantage as compared to the traditional approach in terms of patient benefits. Although it has gained popularity among surgeons, there are still some contentious issues especially in laparoscopic rectal surgery. Splenic flexure mobilization is a crucial aspect of the procedure with complex technical details thereby establishing a learning curve that cannot be easily overcome. A team of colorectal surgeons at China Medical University Hospital adopted a standardized approach to laparoscopic rectal surgery particularly simplifying the steps involved in mobilizing the splenic flexure which is deemed as one of the difficult steps in the surgery.

Keywords

Splenic flexure mobilization / anterior resection / low anterior resection / laparoscopic rectal surgery

Cite this article

Download citation ▾
Tao-Wei Ke, Christian Ross Geniales, William Tzu-Liang Chen. The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer. Mini-invasive Surgery, 2018, 2(1): 35 DOI:10.20517/2574-1225.2018.46

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Arnold M,Laversanne M,Jemal A.Global patterns and trends in colorectal cancer incidence and mortality.Gut2017;66:683-91

[2]

Taiwan Cancer Registry. Available from: http://tcr.cph.ntu.edu.tw/main.php?Page=N1. [Last accessed on 15 Sep 2018]

[3]

Vecchio R,Intagliata E.Laparoscopic colorectal surgery for cancer: what is the role of complete mesocolic excision and splenic flexure mobilization?.Indian J Surg2017;79:338-43 PMCID:PMC5549051

[4]

Gouvas N,Tsimogiannis K,Tsimoyiannis E,Xynos E.Impact of splenic flexure mobilization on short-term outcomes after laparoscopic left colectomy for colorectal cancer.Surg Laparosc Endosc Percutan Tech2014;24:470-4

[5]

Kim MK,Kang WK,Kye BH,Kim JG.Long-term oncologic outcomes of laparoscopic surgery for splenic flexure colon cancer are comparable to conventional open surgery.Ann Surg Treat Res2017;93:35-42 PMCID:PMC5507789

[6]

Gezen C,Kement M,Civil O,Aksakal N.Complete versus partial mobilization of splenic flexure during laparoscopic low anterior resection for rectal tumors: a comparative study.J Laparoendosc Adv Surg Tech A2012;22:392-6

[7]

Thum-umnuaysuk S,Geng YY.Lengthening of the colon for low rectal anastomosis in a cadaveric study: how much can we gain?.Tech Coloproctol2013;17:377-81

[8]

Schlussel AT,Kelly JF,Maykel JA,Sweeney WB.Location is everything: the role of splenic flexure mobilization during colon resection for diverticulitis.Int J Surg2017;40:124-29

[9]

Kim HJ,Lim SW,Kim YJ.An extended medial to lateral approach to mobilize the splenic flexure during laparoscopic low anterior resection.Colorectal Dis2013;15:e93-8

[10]

Benseler V,Iesalnieks I,Glockzin G,Agha A.Different approaches for complete mobilization of the splenic flexure during laparoscopic rectal cancer resection.Int J Colorectal Dis2012;27:1521-9

[11]

Araujo SE,Kim NJ,Nahas SC.Assessing the extent of colon lengthening due to splenic flexure mobilization techniques: a cadaver study.Arq Gastroenterol2012;49:219-22

[12]

Zhou T,Tian H,Xia S.Laparoscopic rectal resection versus open rectal resection with minilaparotomy for invasive rectal cancer.J Gastrointest Oncol2014;5:36-45 PMCID:PMC3904031

[13]

Marsden MR,Zeidan S,Khan JS,Parvaiz A.The selective use of splenic flexure mobilization is safe in both laparoscopic and open anterior resections.Colorectal Dis2012;14:1255-61

[14]

Matsumura N,Saijo F.Strategy of laparoscopic surgery for colon cancer of the splenic flexure: a novel approach.Surg Endosc2018;32:2559

[15]

Kye BH,Kim HS,Cho HM.How much colonic redundancy could be obtained by splenic flexure mobilization in laparoscopic anterior or low anterior resection?.Int J Med Sci2014;11:857-62 PMCID:PMC4081306

[16]

Reddy SH,Yadav TD,Sahni D.Lengthening of left colon after rectal resection: what all is adequate? A prospective cohort study.Int J Surg2016;31:27-32

[17]

Toh JWT,Kim SH.Arc of riolan-preserving splenic flexure takedown during anterior resection: potentially critical to prevent acute anastomotic ischemia.Dis Colon Rectum2018;61:411-4

[18]

Okuda J,Tanaka K,Uchiyama K.Laparoscopic resection of transverse colon cancer at splenic flexure: technical aspects and results.Updates Surg2016;68:71-5

[19]

Ludwig KA.Is splenic flexure mobilization necessary in laparoscopic anterior resection? Another view.Dis Colon Rectum2012;55:1198-200

[20]

Murpurgo E, Contardo T, Termini B, Orsini C, Tosato SM, Annibale AD. Laparoscopic takedown of the splenic flexure. Available from: http://cine-med.com/index.php?id=acs-2721. [Last accessed on 15 Sep 2018]

AI Summary AI Mindmap
PDF

109

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/