• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic left colonic resection – how to perform it in our institute?

Laparoscopic left colonic resection – how to perform it in our institute?

Kazuki Ueda, MD, Koji Daito, MD, Fumiaki Sugiura, MD, Tadao Tokoro, MD, Haruhiko Imamoto, MD, Jin-ichi Hida, MD, Kiyotaka Okuno, MD

Department of Surgery, Kinki University Faculty of Medicine

Introduction: Laparoscopic left colonic resection will perform for (left sided) transverse colon cancer or descending colon cancer. There are few cases in total number of colorectal cancers. Our institute started laparoscopic colorectal surgery from 1995 and expanded the indication by the technical level of proficiency. Total 495 cases were undergone for colorectal malignancies up to August, 2012. In spite of 33% for ascending colon cancer (including cecal cancer) or 44% for sigmoid colon cancer (including recto-sigmoid colon cancer), there were only 5% for transverse/descending colon cancer. Therefore, the technical level of proficiency of laparoscopic left colonic resection is slow. We herein present how to perform laparoscopic left colonic resection in our institute.

Procedure: The patient is placed lithotomy position. The initial 12-mm camera trocar is placed at the umbilical area with Hasson technique. A flexible 5mm camera is introduced through the first trocar. After pneumoperitoneum is established up to 8 mmHg and working spaces are created, the remaining 4 (5mm) trocars are placed under direct vision. The medial-to-lateral approach is performed, and then the inferior mesenteric artery (IMA) is exposed and lymph node dissection is performed by preserving IMA. The left colic artery (LCA) is identified and divided on its origin. The inferior mesenteric vein (IMV) is divided at the same level of LCA. The left colic mesentery is widely mobilized above the left kidney or the inferior level of pancreas. After dissecting the greater omentum from transverse colon, bursa omentalis is opened. Transverse mesocolon is dissected from lower edge of the pancreas. Finally, the splenic flexure is fully mobilized with combined approach (laterally, anteriorly, and posteriorly). The specimen is extracted through a mini-laparotomy (4-5 cm) at the umbilicus. The functional end-to-end anastomosis is created with linear stapler device.

Conclusions: Laparoscopic left colonic resection is technically difficult, but it can be done with highly standardized procedures. A key step of this procedure is wide mobilization of left colonic mesentery and the exposure of the inferior border of pancreas.


Session: Poster Presentation

Program Number: P036

128

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals