ArticleInternational journal of medical sciences2014
How much colonic redundancy could be obtained by splenic flexure mobilization in laparoscopic anterior or low anterior resection?
Article in International journal of medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Surgical and clinical predictors of successful Hartmann reversal procedure after perforated diverticulitis.Surgical endoscopy · 2026Observational
- Surgical considerations for the "perfect" colorectal anastomosis.Journal of gastrointestinal oncology · 2023Review
- Predictors for selective flexure mobilization during robotic anterior resection for rectal cancer: a prospective cohort analysis.Surgical endoscopy · 2023Article
- Gaining Mesenteric Length following Colorectal Resection: Essential Maneuvers to Avoid Anastomotic Tension.Clinics in colon and rectal surgery · 2023Review
- Complicated Diverticular Disease.Clinics in colon and rectal surgery · 2021Review
- Minimally Invasive Management of Diverticular Disease.Clinics in colon and rectal surgery · 2021Review
- LAPAROSCOPIC SPLENIC FLEXURE MOBILIZATION: TECHNICAL ASPECTS, INDICATION CRITERIA AND OUTCOMES.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021Article
- Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection.Journal of surgical case reports · 2020Article
- Article
- 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
- Splenic flexure mobilization in rectal cancer surgery: do we always need it?Updates in 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
- Anatomical siting of the splenic flexure using computed tomography.Annals of the Royal College of Surgeons of England · 2017Article
- Laparoscopic anterior resection: Analysis of technique over 1000 cases.Journal of minimal access surgeryArticle
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5 authors.
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Abstract
BACKGROUND AND
objectivesSplenic flexure mobilization (SFM) is performed to ensure a tension free anastomosis with an adequate resection margin in laparoscopic anterior resection (AR) or low anterior resection (LAR). This retrospective study was performed to determine the amount of colonic redundancy that can be expected by SFM.
methodsRetrospective review of medical record for a total of 203 patients who underwent SFM during laparoscopic AR or LAR for the treatment of sigmoid colon or rectal cancer was performed.
resultsThe obtained redundancy of the colon by SFM was 27.81 ± 7.29 cm from the sacral promontory. The redundancy of the colon by SFM with high ligation of the inferior mesenteric vein (IMV) (29.54 ± 7.17 cm from the sacral promontory) was greater than that with low ligation of the IMV (24.94 ± 6.07 cm from the sacral promontory, P < 0.0001). It took about 9.82% of the total operation time to perform SFM. There was no intraoperative complication during SFM.
conclusionsSFM during laparoscopic AR or LAR is a safe and feasible option. Based on the result of this study, one can gain about 27.81 cm redundancy of the colon by SFM.
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