No notable perioperative or postoperative complications were noted.Ĭonclusions: Safe mobilization of the splenic flexure can be achieved by approaching from four directions, and standardization of left colectomy can facilitate complete mesenteric excision. The mean operative time was 190 minutes, and the mean blood loss was 2.0 mL. Results: This procedure was performed in 70 patients with splenic flexure colon cancer (mean age 70 years). Intestinal resection and anastomosis are performed. This was performed by approaching from four directions toward the splenic flexure. After making an incision at the greater omentum and gastrocolic ligament from the center of the transverse colon to the splenic flexure, the transverse mesocolon base was dissected from the inside splenic flexure for complete mobilization. The next dissection reached the white line at the lateral side and the sigmoid–descending colon junction. Further dissection was carried out between the mesentery of the colon and the renal fascia until it exceeded the upper pole of the left kidney and the splenic flexure. After confirming the base of the inferior mesenteric artery, the left colic artery was dissected and resected at the base. The sigmoid colon was mobilized to the descending mesocolon through the medial approach. The phase IV clinical study is created by eHealthMe based on reports from the FDA, and is updated regularly. No report of Distention of the colon's splenic flexure is found in people who take Betaprone. Methods: Laparoscopic colectomy for SFC was performed as follows. We study 3 people who take Betaprone or have Distention of the colon's splenic flexure. The proximal segment, the cecum and the ascending and.
We described a standardized laparoscopic procedure for SFCs and examined its safety and feasibility. The splenic flexure marks an intermediate position in the colon both anatomically and physiologically. Background: Standardized protocols for laparoscopic surgery of splenic flexure cancer (SFC) have not been established yet.
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