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


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

Correspondence Address:
Marco Lotti,
Advanced Surgical Oncology Unit, Ospedale Papa Giovanni Xxiii, Piazza OMS, 1, 24127 Bergamo
Italy
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_118_18

PMID: 29974872

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.


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    -  Lotti M
    -  Poiasina E
    -  Panyor G
    -  Marini M
    -  Capponi MG
    -  Paderno N
    -  Calcagno P
    -  Poletti E
    -  Campanati L
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04