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

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 Splenic flexure mobilization in low anterior resection

2019 ◽  
Vol 6 (4) ◽  
pp. 1040
Author(s):  
Ahmed Maher Megreya ◽  
Ahmed S. Elgammal ◽  
Mahmoud A. Shahin
Keyword(s):  
Rectal Cancer ◽  
Blood Loss ◽  
Anterior Resection ◽  
Splenic Flexure ◽  
Low Anterior Resection ◽  
Lateral Approach ◽  
P Value ◽  
Splenic Flexure Mobilization ◽  
Operative Blood Loss ◽  
Medial Approach

Background: The use of splenic flexure mobilization (SFM) for rectal cancer surgery is still controversial. SFM includes division of the splenocolic, phrenocolic, gastrocolic and pancreaticomesocolic ligaments, which is time-consuming. The aim of present prospective study of low anterior resection in case of cancer rectum was to compare splenic flexure mobilization (SFM) carried out by an extended medial approach with that by a lateral approach.Methods: A prospective study was carried out in General Surgery Department, Menoufia University, Egypt between October 2017 and December 2018. Patients were allocated randomly into two groups in which first group (group A) allocated to medial mobilization of splenic flexure and the second group was allocated into lateral approach of splenic flexure. The extended medial involved continuing the medial to lateral approach upwards to enter the lesser sac over the pancreas, thus permitting detachment of the splenic flexure. However, lateral approach involves dissection of retroperitoneal fascia.Results: Thirty patients, including 20 undergoing a lateral SFM and 10 an extended medial SFM, were evaluated. Mean number of lymph nodes in lateral and medial approach are (17.7±5.6, 24.3±6 respectively) with significant (P-value=0.04). Interestingly, Intra-operative blood loss in lateral approach is more than medial approach (175±25.3, 160.1±30 respectively) with significant (p-value=0.02). The interval to oral intake (3±0.3 days extended medial, 4.1±0.7 lateral, P=0.14).Conclusions: An extended medial approach for SFM during low anterior resection of rectal cancer appears to be an improvement over the previously used lateral approach because it may provide a shorter operation time and higher number of harvested lymph nodes with less intra-operative blood loss.

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

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

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

Non-anatomical colonic resections: splenic flexure and transverse colectomy. Central vascular ligation is crucial for survival

2019 ◽  
Vol 74 (2) ◽  
Author(s):  
Rossella Reddavid ◽  
Laura Esposito ◽  
Andrea Evangelista ◽  
Silvia Sofia ◽  
Maurizio Degiuli
Keyword(s):  
Splenic Flexure ◽  
Central Vascular Ligation ◽  
Vascular Ligation ◽  
Transverse Colectomy
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