Alberto Mangano, MD, Roberto E Bustos, MD, Federico Gheza, MD, Pier Cristoforo Giulianotti, MD, FACS, Professor of Surgery. UIC. Department of Surgery. Division of General, Minimally Invasive and Robotic Surgery
Herein we present a case report showing our surgical technique of routine robotic splenic flexure mobilization which we perform in a standard way in all cases of robotic left colonic or rectal surgery, this can reduce surgical morbidity (including splenic injury rate) without extending a lot the operative time, it can create a no tension anastomosis/better tissue perfusion and allow the mastering of a surgical technique useful in other procedures.
65 year old male patient with a 1 cm poorly differentiated adenocarcinoma in the proximal descending colon.
Our routine splenic flexure mobilization technique is based on the combination of 4 different pathways: 1) Medial to lateral entering the lesser sac (underneath the inferior mesenteric vein); 2) Up-down dissection starting from the spleen; 3) Lateral to medial opening the parieto-colic space (from the lateral peritoneal reflection); 4)Bottom-top opening the mesocolon.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88265
Program Number: V214
Presentation Session: Thursday Video Loop (Non CME)
Presentation Type: VideoLoop