Revista ABCd (São Paulo). 11 Jun, 2021

LAPAROSCOPIC SPLENIC FLEXURE MOBILIZATION: TECHNICAL ASPECTS, INDICATION CRITERIA AND OUTCOMES

Fabio Guilherme CAMPOS
Leonardo Alfonso BUSTAMANTE-LOPEZ
Carlos Augusto MARTINEZ
DOI: 10.1590/0102-672020210001e1575

INTRODUCTION

The laparoscopic treatment of colorectal diseases has brought many technical and tactical modifications as an attempt to improve results over open surgery. In the context, the growing experience with laparoscopic techniques1-5 allowed the adoption of a complete splenic flexure mobilization (SFM) as an essential step during colorectal resections6. This maneuver aims to ensure a tension-free and well-perfused length of colon to be attached at the anastomosis, allowing an adequate resection margin in segmental left resections for diverticulitis or cancer.

There exist some controversies regarding laparoscopic SFM, such as selective indication, the best moment to perform, the need for additional ports and technical aspects. Furthermore, there is a common fear that an additional procedure could affect postoperative morbidity.

A literature search shows that laparoscopic SFM lacks standardization. Consequently, we decided to describe in detail important technical aspects of how it can be performed and to discuss indications and outcomes.


. . .
Share this article
Advanced Search
Indexed in:
Follow us!
ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

Developed by Surya MKT