In the context, the growing experience with laparoscopic techniques 1-5 allowed the adoption of a complete splenic flexure mobilization (SFM) as an essential step during colorectal resections 6. 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 ...

Splenic flexure mobilization during laparoscopic colorectal surgery, which is used for elongation of the remaining colon after resecting the left colon or rectum, is sometimes essential for making a secure anastomosis without tension.

2019年2月21日 · Splenic flexure mobilization (SFM) increases left colonic reach for a better vascularized and tension-free anastomosis. Open SFM is challenging due to anatomic position. Minimally invasive SFM improves visualization and minimizes splenic traction.

2023年9月9日 · The goal of splenic flexure mobilization is to move the splenic flexure closer to the pelvis for a tension-free descending colorectal anastomosis. This requires more than a simple lateral division of the line of Toldt to the splenic flexure.

2016年7月22日 · Splenic flexure mobilization may be performed during low anterior resection, sigmoid colectomy, left colectomy, or total colectomy. In this chapter, we concentrate on the lateral approach, which is commonly performed during sigmoid colectomy.

The aim of this paper is to describe the technique of laparoscopic splenic flexure mobilization and to discuss the advantages of using it as the first surgical step in colorectal rectal resection analyzing our last 12 months experience (2018).

2020年2月21日 · With the cadaver dissection and subsequent demonstration in real-life laparoscopic surgery, we have shown five types of laparoscopic splenic flexure mobilization. The Splenic Flexure “Box” is a useful way to learn and teach this surgical maneuver.

2023年12月29日 · We expose the duodenal-jejunal flexure, ligate the inferior mesenteric vein, and perform medial to lateral dissection, completing splenic flexure mobilization. This video vignette outlines how to perform this technique for left sided colorectal resections.

2017年11月27日 · In practice, routine splenic flexure mobilization may require utilizing all three approaches: first the inferior (medial) approach, next the lateral approach to divide the lateral peritoneal attachments, and finally the supramesocolic approach to …

2020年6月12日 · Splenic flexure mobilization is a technique that allows for a tension-free bowel anastomosis during left colectomy or proctectomy and ensures adequate length of the descending or sigmoid colon to reach the skin when performing a colostomy. Left-sided or …