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Techniques in Coloproctology
Published in: Techniques in Coloproctology 8/2019

01-08-2019 | Video Forum

The laparoscopic medial-to-lateral approach to the splenic flexure

Authors: J. Snider, R. Gay, A. Caycedo-Marulanda

Published in: Techniques in Coloproctology | Issue 8/2019

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Excerpt

Releasing the splenic flexure (SF) is of paramount importance when performing left-sided colorectal procedures. The principal justification for this maneuver lies in its potential to enable the creation of a tension-free colorectal anastomosis. In the current literature, there is no universal consensus about the necessity to release the SF in every patient [1]. …
Appendix
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Literature
1.
Chand M, Miskovic D, Parvaiz AC (2012) Is splenic flexure mobilization necessary in laparoscopic anterior resection? Dis Colon Rectum 55(11):1195–1197CrossRefPubMed
2.
Liang J-T, Lai H-S, Lee P-H (2005) Laparoscopic medial-to-lateral approach for the curative left hemicolectomy. Dis Colon Rectum 48(11):2142–2143CrossRef
3.
Fukuoka A, Sasaki T, Tsukikawa S, Miyajima N, Ostubo T (2016) Evaluating distribution of the left branch of the middle colic artery and the left colic artery by CT angiography and colonography to classify blood supply to the splenic flexure. Asian J Endosc Surg 10(2):148–153CrossRefPubMed
4.
Garcia-Granero A, Sánchez-Guillén L, Carreño O, Sancho Muriel J, Alvarez Sarrado E, Fletcher Sanfeliu D et al (2017) Importance of the Moskowitz artery in the laparoscopic medial approach to splenic flexure mobilization: a cadaveric study. Tech Coloproctol 21(7):567–572 (5 ed) CrossRefPubMed
5.
Matsumura N, Tokumura H, Saijo F, Katayose Y (2017) Strategy of laparoscopic surgery for colon cancer of the splenic flexure: a novel approach. Surg Endosc 32(5):2559 (Springer US) CrossRefPubMed
Metadata
Title
The laparoscopic medial-to-lateral approach to the splenic flexure
Authors
J. Snider
R. Gay
A. Caycedo-Marulanda
Publication date
01-08-2019
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 8/2019
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-019-02018-6

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