A new technique of extreme lateral positioning for laparoscopic splenic flexure mobilization

Colorectal Dis. 2015 May;17(5):O126-8. doi: 10.1111/codi.12942.

Abstract

Aim: This aim of this study was to describe a novel positioning technique that assists in the expeditious mobilization of the splenic flexure without the need for redraping or compromise of port placement.

Method: A prospective case series was studied to evaluate the technique and its ability to facilitate splenic flexure mobilization.

Results: The technique was used in 12 patients. There were no adverse intra- or postoperative events. The median time (interquartile range) for laparoscopic splenic flexure mobilisation was 10 (9-11.25).

Conclusion: This novel positioning technique is safe and feasible. We include a detailed video that describes and demonstrates the requisites for its safe conduct. We also include intra-operative footage demonstrating the benefits of the patient's position.

Keywords: Splenic flexure mobilization; colonic mobilization; rectal cancer.

Publication types

  • Video-Audio Media

MeSH terms

  • Cohort Studies
  • Colectomy / methods*
  • Colon, Transverse / surgery*
  • Laparoscopy / methods
  • Patient Positioning / methods*
  • Prospective Studies