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A Journal on Surgery

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Chirurgica 2016 October;71(5):345-8

language: English

Notes of robotic surgical technique: four ways to mobilize splenic flexure

Wanda PETZ, Dario RIBERO, Emilio BERTANI, Maria L. POLIZZI, Giuseppe SPINOGLIO

Division of Hepatobiliary and Pancreatic Surgery, European Institute of Oncology, Milan, Italy


Splenic flexure mobilization is a challenging surgical procedure, but is it necessary to safely perform left colon and rectal resections. This paper is a technical focus detailing the four ways to mobilize splenic flexure in robotic surgery. The medial approach involves an extensive dissection of the medial plane separating descending mesocolon form Toldt fascia; the sovramesocolic approach starts with gastrocolic ligament section; the lateral approach starts with coloparietal detachment and the “one inch-one inch” approach starts with section of transverse mesocolon.

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