ArticleSurgical endoscopy2010
Factors affecting difficulty of laparoscopic surgery for left-sided colon cancer.
Article in Surgical endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is routine splenic flexure mobilization always necessary in laparotomic or laparoscopic anterior rectal resection? A systematic review and comprehensive meta-analysis.Updates in surgery · 2021Pooled it
- Laparoscopic colorectal cancer resections in the obese: a systematic review.Surgical endoscopy · 2017Pooled it
- A randomized clinical trial comparing the initial vascular approach to the inferior mesenteric vein versus the inferior mesenteric artery in laparoscopic surgery of rectal cancer and sigmoid colon cancer.Surgical endoscopy · 2019Trial
- Risk factors for severe postoperative complications after left colectomy: A multicenter, retrospective study.Surgery today · 2026Article
- Comparison of the short-term and mid-term outcomes between robot-assisted and laparoscopic surgery for splenic flexure colon cancer.Surgery today · 2026Article
- Prediction of Microsatellite Instability in Colorectal Cancer Using Two Internally Validated Radiomic Models.Tomography (Ann Arbor, Mich.) · 2025Article
- Priority dissecting of the inferior mesenteric artery combined with complete medial approach: a novel laparoscopic approach for left-sided colon cancers.World journal of surgical oncology · 2025Article
- Innovative pancreas-guided technique for splenic flexure mobilization in laparoscopic left hemicolectomy.Surgical endoscopy · 2024Article
- Minimally invasive vs. open segmental resection of the splenic flexure for cancer: a nationwide study of the Italian Society of Surgical Oncology-Colorectal Cancer Network (SICO-CNN).Surgical endoscopy · 2023Article
- Pancreatic injuries following laparoscopic splenic flexure mobilization.International journal of colorectal disease · 2022Article
- Laparoscopic complete mesocolic excision with central vascular ligation for splenic flexure colon cancer: short- and long-term outcomes.Surgical endoscopy · 2022Article
- Surgical management of splenic flexure colon cancer: a retrospective propensity-matched study comparing open and minimally invasive approaches using the national cancer database.International journal of colorectal disease · 2021Article
- Options for Low Rectal Cancer: Robotic Total Mesorectal Excision.Clinics in colon and rectal surgery · 2021Review
- Extended right colectomy, left colectomy, or segmental left colectomy for splenic flexure carcinomas: a European multicenter propensity score matching analysis.Surgical endoscopy · 2021Article
- Classification of the colonic splenic flexure based on three-dimensional CT analysis.BJS open · 2021Article
- Wound infection in colorectal cancer resections through a laparoscopic approach: a single-center prospective observational study of over 3000 cases.Discover oncology · 2021Article
- Prognostic nutritional index and postoperative outcomes in patients with colon cancer after laparoscopic surgery.Surgery today · 2020Article
- Laparoscopic segmental left colectomy for splenic flexure carcinoma: a single institution experience.Techniques in coloproctology · 2020Article
- Effect of splenic flexure mobilization performed via medial-to-lateral and superior-to-inferior approach on early clinical outcomes in elective laparoscopic resection of rectal cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Cranial-first approach of laparoscopic left colectomy for T4 descending colon cancer invading the Gerota's fascia.Surgical case reports · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic colon resection for left-sided colon cancer is being performed with increasing frequency worldwide. The purpose of this study is to evaluate the influence of patient- and procedure-related factors on difficulty of laparoscopic surgery for left-sided colon cancer.
methodsTwo hundred sixty consecutive patients underwent laparoscopic surgery for left-sided colon cancer from July 2005 to December 2008. Gender, body mass index (BMI), tumor location, tumor size, previous abdominal surgery, tumor depth, tumor stage, splenic flexure mobilization, type of anastomosis, and site of arterial division were analyzed as potential variables that affect difficulty of laparoscopic surgery. Dependent variables were operative time, intraoperative blood loss, intra- and postoperative complications, and proximal and distal tumor margin. Univariate and multivariate analyses were performed to determine predictive significance of variables.
resultsMultivariate analysis showed that male gender (P = 0.0183) and splenic flexure mobilization (P < 0.0001) were independently predictive of longer operative time. Splenic flexure mobilization was related to greater intraoperative blood loss (P = 0.0006), intraoperative complications (P = 0.0111, odds ratio: 7.22), and wider distal tumor margin (P = 0.0048).
conclusionsMale gender and splenic flexure mobilization were independent predictors of difficulty of laparoscopic surgery for left-sided colon cancer. In contrast, our findings also showed that BMI, tumor location, previous abdominal surgery, tumor stage, type of anastomosis, and site of arterial division did not have an adverse impact on difficulty of laparoscopic surgery for left-sided colon cancer in our clinical setting. Our data support the safety of performing laparoscopic surgery for left-sided colon cancer in well-selected patients by well-experienced surgical teams.
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