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J Minim Access Surg. 2018 Jun 27. doi: 10.4103/jmas.JMAS_118_18. [Epub ahead of print]

A standardised and simplified technique for laparoscopic resection of the splenic flexure.

Author information

1
Department of General Surgery, Advanced Surgical Oncology Unit, Papa Giovanni Xxiii Hospital, Bergamo, Italy.
2
Department of General Surgery, Papa Giovanni Xxiii Hospital, Bergamo, Italy.

Abstract

The splenic flexure is an uncommon location of colorectal cancer, being involved in 2%-3% of cases. The low chance of being engaged in resecting cancer of the splenic flexure can make it difficult for surgeons to build their learning curve and to achieve a reliable experience. As the majority of colectomies are still performed by low-volume surgeons, there is growing agreement that providing local services with adequate surgical education and training could be an effective strategy to improve outcomes and global health. Arming surgeons with simplified and easy-to-learn surgical techniques could be an important step of this strategy. A novel simplified technique for laparoscopic resection of the splenic flexure is presented, which combines laparoscopic mobilisation of the right colon with extracorporeal vascular ligation and bowel anastomosis.

KEYWORDS:

Colon cancer; colon resection; colorectal cancer; laparoscopic colectomy; splenic flexure

PMID:
29974872
DOI:
10.4103/jmas.JMAS_118_18
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