Three Surgical Approaches of Laparoscopic Splenic Flexure Mobilization
10.7602/jmis.2019.22.2.85
- Author:
Yoon Suk LEE
1
Author Information
1. Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yslee@catholic.ac.kr
- Publication Type:Brief Communication
- Keywords:
Laparoscopy;
Colorectal surgery;
Colon;
Splenic flexure;
Lesser sac
- MeSH:
Colon;
Colon, Transverse;
Colorectal Surgery;
Humans;
Laparoscopy;
Methods;
Peritoneal Cavity;
Rectum
- From:Journal of Minimally Invasive Surgery
2019;22(2):85-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
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. However, laparoscopic splenic flexure mobilization is often time consuming and technically demanding, particularly in obese patients with severe adhesion. Therefore, three surgical approaches are introduced to make the procedure easier according to the method of entering the lesser sac: anterior approach, inferio-medial approach, and lateral approach.
