ArticleTechniques in coloproctology2020
Elective surgery for tumours of the splenic flexure: a French inter-group (AFC, SFCD, FRENCH, GRECCAR) survey.
Article in Techniques in coloproctology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04348721 (ASSESSMENT OF COMPLEXITY AND TECHNICAL DIFFICULTIES IN LIVER TRANSPLANTATION), which is not on this map. Cited by 13 papers.
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Assessment of complexity and technical difficulties in liver transplantation: international survey of experts
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13 citing papers in PubMed, 30 citations in OpenAlex.
- Surgical management of splenic flexure colonic malignancy.World journal of gastrointestinal surgery · 2025Review
- Splenic flexure adenocarcinoma: A national cohort analysis of extent of surgical resection and outcomes.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Treatment Differences for Splenic Flexure Cancers in Saudi Arabia: A Cross-Sectional Study.Cureus · 2024Article
- SF-CORNER (splenic flexure colorectal cancer): an international survey of operative approaches and outcomes for cancers of the splenic flexure.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Revisited Surgical Anatomy of the Left Colonic Angle for Tailored Carcinologic Colectomy: A Review.Journal of personalized medicine · 2023Review
- Surgical outcomes of various surgical approaches for transverse colon cancer.Journal of minimally invasive surgery · 2022Review
- Laparoscopic versus open surgery for left flexure colon cancer: A propensity score matched analysis from an international cohort.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022Article
- Surgical Treatment of SplenicFlexure Colon Cancer: Analysisof Short-Term and Long-Term Outcomes of Three DifferentSurgical Procedures.Frontiers in oncology · 2022Article
- Single-docking robotic-assisted artery-guided segmental splenic flexure colectomy for splenic flexure cancer-a propensity score-matching analysis.Journal of gastrointestinal oncology · 2021Article
- Article
- Emergency surgery for splenic flexure cancer: results of the SFC Study Group database.World journal of emergency surgery : WJES · 2021Article
- Subtotal colectomy, extended right hemicolectomy, left hemicolectomy, or splenic flexure colectomy for splenic flexure tumors: a network meta-analysis.International journal of colorectal disease · 2021Article
- Robotic left colectomy with double indocyanine green guidance and intracorporeal anastomoses.Journal of minimal access surgeryArticle
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Authors and funding
10 authors at 6 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn an elective setting, there is no consensus regarding the type of colectomy that is best for patients with tumors of the splenic flexure: segmental left colectomy (or splenic flexure colectomy), left hemicolectomy or subtotal colectomy (or extended right hemicolectomy). In the United Kingdom, extended right hemicolectomy is preferred by surgeons. The aim of the present survey was to report on the practices in France for this particular tumor location.
methodsBetween 15/07/17 and 15/10/17, members of two French surgical societies [the French Association of Surgery (AFC) and the French Society of Digestive Surgery (SFCD)] and two French surgical cooperative groups [the French Federation of Surgical Research (FRENCH) and the French Research Group of Rectal Cancer Surgery (GRECCAR)] were solicited by email to answer an online anonymous questionnaire.
resultsA total of 190 out of 420 surgeons participated in this study (response rate 45%). The preferred procedure was splenic flexure colectomy (70%), followed by left hemicolectomy (17%) and subtotal colectomy (13%). The most used surgical approach was laparoscopy (63%), followed by laparotomy (31%) and hand-assisted laparoscopy (6%). Lymph node dissection was extended to the middle colic artery in 29% of splenic flexure colectomies and in 33% of left hemicolectomies. Twenty-nine percent of responders thought that tumors of the splenic flexure had a worse prognosis in comparison with other colonic sites, because of insufficient lymph node dissection (73%) or a more advanced stage (50%) at diagnosis. However, this opinion did not change the type of colectomy performed.
conclusionsThere is a strong consensus in France to operate tumors of the splenic flexure with a splenic flexure colectomy and lymph node dissection limited to the left colic artery.
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