ArticleInternational journal of colorectal disease2012
Different approaches for complete mobilization of the splenic flexure during laparoscopic rectal cancer resection.
Article in International journal of colorectal disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 45 citations in OpenAlex.
- Predictors of difficulty in robotic splenic flexure mobilization during rectal cancer surgery.International journal of colorectal disease · 2025Article
- Pancreas-guided C-shaped surgical procedure: a safer and more efficient procedure for laparoscopic left hemicolectomy in obese patients.Updates in surgery · 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
- How to do it: Splenic flexure mobilisation via medial trans-mesocolic approach.Turkish journal of surgery · 2023Article
- SAGES masters program: the top 10 seminal articles for the laparoscopic left and sigmoid colectomy pathway for complex disease.Surgical endoscopy · 2023Article
- Gaining Mesenteric Length following Colorectal Resection: Essential Maneuvers to Avoid Anastomotic Tension.Clinics in colon and rectal surgery · 2023Review
- Pancreatic injuries following laparoscopic splenic flexure mobilization.International journal of colorectal disease · 2022Article
- The importance of the Moskowitz artery as a lesser-known collateral pathway in the medial laparoscopic approach to splenic flexure mobilisation and its evaluation with preoperative computed tomography.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Article
- A video guide of five access methods to the splenic flexure: the concept of the splenic flexure box.Surgical endoscopy · 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
- Standardize the Surgical Technique and Clarify the Relevant Anatomic Concept for Complete Mobilization of Colonic Splenic Flexure Using da Vinci XiWorld journal of surgery · 2019Article
- Laparoscopic Colorectal Surgery for Cancer: What Is the Role of Complete Mesocolic Excision and Splenic Flexure Mobilization?The Indian journal of surgery · 2017Article
- Long-term oncologic outcomes of laparoscopic surgery for splenic flexure colon cancer are comparable to conventional open surgery.Annals of surgical treatment and research · 2017Article
- Importance of the Moskowitz artery in the laparoscopic medial approach to splenic flexure mobilization: a cadaveric study.Techniques in coloproctology · 2017Article
- How much colonic redundancy could be obtained by splenic flexure mobilization in laparoscopic anterior or low anterior resection?International journal of medical sciences · 2014Article
- Laparoscopic right colectomy: Miles away or just around the corner?Journal of minimal access surgeryArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic resection of rectal cancer has already become the standard procedure in many hospitals. The splenic flexure mobilization (SFM) is an important preparational step. Several methods are used for laparoscopic SFM; however, studies comparing different approaches are lacking. In the present study, three different approaches for SFM have been compared to each other.
methodsBetween January 1998 and December 2010, 415 patients with rectal adenocarcinoma underwent laparoscopic rectal resection at one center. Of these, 303 patients received complete splenic flexure mobilization. The SFM was performed using either a medial (SFM-M; n = 41), lateral (SFM-L; n = 214), or anterior (SFM-A; n = 48) approach.
resultsThere was a significantly higher rate of intraoperative complications in the SFM-L group as compared to the SFM-M or the SFM-A group (p = 0.038). Postoperative surgical complications occurred in 5 (10.6 %) patients of the SFM-A group compared to 38 patients (17.7 %) in the SFM-L group (p = 0.002) and 5 (12.1 %) patients in the SFM-M group (p = 0.037). SFM-L was also associated with a higher frequency of overall postoperative morbidity which was mainly due to wound infection rates (p = 0.001).
conclusionsThe anterior approach for SFM in laparoscopic surgery seems to be associated with lower frequency of intra- and postoperative morbidity.
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