Notes of robotic surgical technique: four ways to mobilize splenic flexure

Minerva Chir. 2016 Oct;71(5):345-8. Epub 2016 Jul 14.

Abstract

Splenic flexure mobilization is a challenging surgical procedure, but is it necessary to safely perform left colon and rectal resections. This paper is a technical focus detailing the four ways to mobilize splenic flexure in robotic surgery. The medial approach involves an extensive dissection of the medial plane separating descending mesocolon form Toldt fascia; the sovramesocolic approach starts with gastrocolic ligament section; the lateral approach starts with coloparietal detachment and the "one inch-one inch" approach starts with section of transverse mesocolon.

Publication types

  • Technical Report

MeSH terms

  • Anastomosis, Surgical / methods
  • Colectomy / methods*
  • Colon, Transverse / surgery*
  • Digestive System Surgical Procedures / methods
  • Dissection / methods
  • Head-Down Tilt
  • Humans
  • Laparoscopy / methods*
  • Robotic Surgical Procedures / methods*