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Minerva Chirurgica 2016 October;71(5):345-8

Copyright © 2016 EDIZIONI MINERVA MEDICA

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


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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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