The three approaches to the colonic splenic flexure mobilization - a video vignette

2017 ◽  
Vol 19 (10) ◽  
pp. 948-949
Author(s):  
G. Dapri ◽  
N. A. Bascombe ◽  
G. B. Cadière ◽  
J. H. Marks
Keyword(s):  
Splenic Flexure ◽  
Splenic Flexure Mobilization ◽  
Video Vignette

Splenic flexure mobilization: our medial‐to‐lateral approach. Video Vignette

2021 ◽  
Author(s):  
Benedetto Neola ◽  
Serafino Vanella ◽  
Adele Noviello ◽  
Francesco Crafa
Keyword(s):  
Splenic Flexure ◽  
Lateral Approach ◽  
Splenic Flexure Mobilization ◽  
Video Vignette

Robotic vascular ligation, medial to lateral dissection and splenic flexure mobilization for rectal cancer - a video vignette

2018 ◽  
Vol 20 (2) ◽  
pp. 165-166 ◽  
Author(s):  
S.-G. Popeskou ◽  
S. Panteleimonitis ◽  
N. Figueiredo ◽  
T. Qureshi ◽  
A. Parvaiz
Keyword(s):  
Rectal Cancer ◽  
Splenic Flexure ◽  
Splenic Flexure Mobilization ◽  
Vascular Ligation ◽  
Video Vignette

Problem solving after marginal artery injury during splenic flexure mobilization - a video vignette

2015 ◽  
Vol 17 (2) ◽  
pp. 174-175 ◽  
Author(s):  
A. Mishra ◽  
M. P. Gosselink ◽  
N. J. Mortensen ◽  
B. D. George ◽  
C. Cunningham ◽  
...  
Keyword(s):  
Problem Solving ◽  
Splenic Flexure ◽  
Splenic Flexure Mobilization ◽  
Artery Injury ◽  
Marginal Artery ◽  
Video Vignette

Cranial-first approach for laparoscopic surgery with splenic flexure mobilization

2019 ◽  
Vol 23 (7) ◽  
pp. 693-694 ◽  
Author(s):  
A. Ogura ◽  
R. Kobayashi ◽  
T. Aritake ◽  
T. Maeda ◽  
K. Kawai ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Splenic Flexure ◽  
Splenic Flexure Mobilization

Splenic flexure mobilization in rectal cancer surgery: do we always need it?

2018 ◽  
Vol 71 (3) ◽  
pp. 505-513 ◽  
Author(s):  
Francesco Ferrara ◽  
Giuseppe Di Gioia ◽  
Daniele Gentile ◽  
Giulia Carrara ◽  
Davide Gobatti ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Splenic Flexure ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Splenic Flexure Mobilization

scholarly journals Assessing the extent of colon lengthening due to splenic flexure mobilization techniques: a cadaver study

2012 ◽  
Vol 49 (3) ◽  
pp. 219-222 ◽  
Author(s):  
Sergio Eduardo Alonso Araujo ◽  
Victor Edmond Seid ◽  
Nam Jin Kim ◽  
Alexandre Bruno Bertoncini ◽  
Sergio Carlos Nahas ◽  
...  
Keyword(s):  
Splenic Flexure ◽  
Colorectal Anastomosis ◽  
Rectal Surgery ◽  
Sao Paulo ◽  
Left Colon ◽  
São Paulo ◽  
Splenic Flexure Mobilization ◽  
Sacral Promontory ◽  
Colon Segment ◽  
The Impact

CONTEXT: Failure of a colorectal anastomosis represents a life-threatening complication of colorectal surgery. Splenic flexure mobilization may contribute to reduce the occurrence of anastomotic complications due to technical flaws. There are no published reports measuring the impact of splenic flexure mobilization on the length of mobilized colon viable to construct a safe colorectal anastomosis. OBJECTIVE: The aim of the present study was to determine the effect of two techniques for splenic flexure mobilization on colon lengthening during open left-sided colon surgery using a cadaver model. DESIGN: Anatomical dissections for left colectomy and colorectal anastomosis at the sacral promontory level were conducted in 20 fresh cadavers by the same team of four surgeons. The effect of partial and full splenic flexure mobilization on the extent of mobilized left colon segment was determined. SETTING: University of Sao Paulo Medical School, Sao Paulo, SP, Brazil. Tertiary medical institution and university hospital. PARTICIPANTS: A team of four surgeons operated on 20 fresh cadavers. RESULTS: The length of resected left colon enabling a tension-free colorectal anastomosis at the level of sacral promontory achieved without mobilizing the splenic flexure was 46.3 (35-81) cm. After partial mobilization of the splenic flexure, an additionally mobilized colon segment measuring 10.7 (2-30) cm was obtained. After full mobilization of the distal transverse colon, a mean 28.3 (10-65) cm segment was achieved. CONCLUSION: Splenic flexure mobilization techniques are associated to effective left colon lengthening for colorectal anastomosis. This result may contribute to decision-making during rectal surgery and low colorectal and coloanal anastomosis.

462. Robotic splenic flexure mobilization is not difficult anymore: ‘Inferior penetration method’

2014 ◽  
Vol 40 (11) ◽  
pp. S175-S176
Author(s):  
C.N. Kim ◽  
J.H. Jang ◽  
M.J. Baek ◽  
J.Y. Kim ◽  
S.J. Lee ◽  
...  
Keyword(s):  
Splenic Flexure ◽  
Splenic Flexure Mobilization
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