Splenic flexure mobilization: does body topography matter?

Background Splenic flexure mobilization can be technically challenging, and its oncological benefits remain uncertain. This study aims to explore the relationship between patient and clinical characteristics and splenic flexure mobilization time as well as the implications of prolonged splenic flexu...

Full description

Saved in:
Bibliographic Details
Published in:Techniques in coloproctology 2025, Vol.29 (1), p.31
Main Authors: Akyol, H., Arslan, N. C., Kocak, M., Shahhosseini, R., Pekuz, C. K., Haksal, M., Gogenur, I., Oncel, M.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Body Height
Body Mass Index
Body Weight
Cancer surgery
Colectomy - methods
Colon, Transverse - surgery
Colorectal cancer
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Colorectal Surgery
Dissection
Female
Gastroenterology
Humans
Laparoscopy
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Proctology
Retrospective Studies
Surgery
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Splenic flexure mobilization can be technically challenging, and its oncological benefits remain uncertain. This study aims to explore the relationship between patient and clinical characteristics and splenic flexure mobilization time as well as the implications of prolonged splenic flexure mobilization duration. Methods This retrospective cohort study includes 105 patients who underwent laparoscopic distal colorectal cancer surgery between 2013 and 2018. The study analyzed patient characteristics, duration of surgical steps, and postoperative outcomes. Splenic flexure mobilization time was assessed using operation videos, and the impact of patient-related factors on splenic flexure mobilization complexity was examined. Results The study identified significant correlations of higher body mass index (BMI) ( p  = 0.0086), weight ( p  = 0.002), and height ( p  = 0.043) with longer splenic flexure mobilization time. Gender did not significantly influence splenic flexure mobilization duration. Splenic flexure mobilization time was correlated with the durations of other individual surgical steps (Step 1: medial-to-lateral dissection [ p  = 0.0013], Step 2: pelvic dissection [ p  = 0.067], Step 3: dissection of white line and mobilization of descending colon [ p  = 0.0088], Step 5: stapling, resection, extraction of the specimen, and anastomosis [ p  = 0.04]) and the overall operation time ( p  
ISSN:1123-6337
1128-045X
1128-045X
DOI:10.1007/s10151-024-03070-7