@article{MAKHILLSJ20105319647,
    title = {Mobilization of the Splenic Flexure: A Standard in Laparoscopic Left Colon and Rectum Resections!},
    journal = {Surgery Journal},
    volume = {5},
    number = {3},
    pages = {31-35},
    year = {2010},
    issn = {1816-3211},
    doi = {sjour.2010.31.35},
    url = {https://makhillpublications.co/view-article.php?issn=1816-3211&doi=sjour.2010.31.35},
    author = {Uwe Johannes,Frank,Hans Peter,Robert,Stefan,Claus and},
    keywords = {lenkage rate,left flexure,laparoscopy,Colorectal,technique,surgery},
    abstract = {The importance of routine mobilization of the left flexure within laparoscopic resections of the left colon is discussed controversially. In the opinion, it should be applied as a standard in these surgical operations. The data of the prospective evaluation of all laparoscopic colectomies were evaluated for a period between 1993 and 2005 with 1091 resections of the left colon or rectum with 72 conversions to an open procedure (conversion rate 6.6%) included. The left flexure was mobilized in 79.2% of all operations. There were no significant differences between the groups regarding the duration, loss of blood and other parameters. The anastomotic leakage rate was 2.2% in this study. A number of resection-rectopexies were included in the percentage of interventions without mobilization of the flexure. The mobilization of the left flexure can be applied as a routine part of left colic resections in a teaching hospital with a large number of participating surgeons and procedures. Using a standardized operation technique with subtle preparation and partially extreme positions of the patient during surgery the mobilization is possible without relevant loss of time and without increased complication rate and a remarkably low leakage rate.}
    }