ArticleInternational journal of colorectal disease2022
Pancreatic injuries following laparoscopic splenic flexure mobilization.
Article in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- AI-Assisted Recognition of Actual Ureteral and Pancreatic Injuries in Laparoscopic Colorectal Surgery: A Randomized Video Review Study.Annals of gastroenterological surgery · 2026Article
- Pancreatic necrosis as a rare complication of left hemicolectomy-case report.Journal of surgical case reports · 2026Article
- Risk factors and prediction model development for pancreatic fistula following splenectomy in Wilson's disease patients with portal hypertension.BMC gastroenterology · 2025Article
- 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
- Oncological and Clinical Impacts of Routine Splenic Flexure Mobilization in Anterior Resection.Cureus · 2024Article
- Innovative pancreas-guided technique for splenic flexure mobilization in laparoscopic left hemicolectomy.Surgical endoscopy · 2024Article
- A case of pancreaticoduodenal artery bleeding after laparoscopic right colectomy requiring open hemostasis.Surgical case reports · 2024Article
- How to do it: Splenic flexure mobilisation via medial trans-mesocolic approach.Turkish journal of surgery · 2023Article
- A case of acute pancreatitis and enterocutaneous fistula formation following extended right hemicolectomy.Journal of surgical case reports · 2023Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo call awareness to pancreatic injury occurring following laparoscopic splenic flexure mobilization (LSFM) and to discuss the mechanisms which led to such an injury.
methodsRetrospective review of patients who underwent LSFM as part of their colectomy procedure and sustained pancreatic injuries at a colorectal surgery referral center during 2014-2021.
resultsOf 1022 (0.6%) LSFM performed during the study period, six (0.6%) patients were identified in which clinically significant injuries to the pancreas occurred. Two patients had partial transection of the tail of the pancreas and underwent laparoscopic distal pancreatectomy during the index operation. Three patients developed a post-operative pancreatic fistula after their pancreatic injury went undiagnosed during surgery and required percutaneous drainage, one of whom eventually required a distal pancreatectomy for a persistent pancreatic fistula. Another patient developed a peripancreatic fluid collection which resolved with conservative treatment.
conclusionsPancreatic injury is rare and a potentially major complication of LSFM. Anatomical misperception, retroperitoneal bleeding, a large bulky splenic flexure tumor, and a "difficult flexure" were recognized as possible mechanisms of such injury.
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