TY  - JOUR
T1  - Mobilization of the Splenic Flexure: A Standard in Laparoscopic Left Colon and Rectum Resections!
AU - Roblick, Uwe Johannes AU - Fischer, Frank AU - Bruch, Hans Peter AU - Keller, Robert AU - Farke, Stefan AU - Blumberg, Claus AU - Bouchard, Ralf 
JO  - Surgery Journal
VL  - 5
IS  - 3
SP  - 31
EP  - 35
PY  - 2010
DA  - 2001/08/19
SN  - 1816-3211
DO  - sjour.2010.31.35
UR  - https://makhillpublications.co/view-article.php?doi=sjour.2010.31.35
KW  - lenkage rate
KW  -left flexure
KW  -laparoscopy
KW  -Colorectal
KW  -technique
KW  -surgery
AB  - 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.
ER  -