Different approaches for complete mobilization of the splenic flexure during laparoscopic rectal cancer resection View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-05-25

AUTHORS

Volker Benseler, Matthias Hornung, Igors Iesalnieks, Philipp von Breitenbuch, Gabriel Glockzin, Hans J. Schlitt, Ayman Agha

ABSTRACT

PurposeLaparoscopic resection of rectal cancer has already become the standard procedure in many hospitals. The splenic flexure mobilization (SFM) is an important preparational step. Several methods are used for laparoscopic SFM; however, studies comparing different approaches are lacking. In the present study, three different approaches for SFM have been compared to each other.MethodsBetween January 1998 and December 2010, 415 patients with rectal adenocarcinoma underwent laparoscopic rectal resection at one center. Of these, 303 patients received complete splenic flexure mobilization. The SFM was performed using either a medial (SFM-M; n = 41), lateral (SFM-L; n = 214), or anterior (SFM-A; n = 48) approach.ResultsThere was a significantly higher rate of intraoperative complications in the SFM-L group as compared to the SFM-M or the SFM-A group (p = 0.038). Postoperative surgical complications occurred in 5 (10.6 %) patients of the SFM-A group compared to 38 patients (17.7 %) in the SFM-L group (p = 0.002) and 5 (12.1 %) patients in the SFM-M group (p = 0.037). SFM-L was also associated with a higher frequency of overall postoperative morbidity which was mainly due to wound infection rates (p = 0.001).ConclusionsThe anterior approach for SFM in laparoscopic surgery seems to be associated with lower frequency of intra- and postoperative morbidity. More... »

PAGES

1521-1529

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00384-012-1495-6

DOI

http://dx.doi.org/10.1007/s00384-012-1495-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1021989687

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22622601


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