Indian Journal of Surgery

, Volume 79, Issue 4, pp 338–343 | Cite as

Laparoscopic Colorectal Surgery for Cancer: What Is the Role of Complete Mesocolic Excision and Splenic Flexure Mobilization?

  • Rosario Vecchio
  • Salvatore Marchese
  • Eva Intagliata
Review Article


Laparoscopic colorectal surgery for cancer is nowadays routinely performed worldwide. After the introduction by Heald of total mesorectal excision for rectal cancer, also a complete mesocolic excision has been advocated as an essential surgical step to improve oncologic results in patients with colon cancer. The complete removal of mesocolon with high ligation of the main mesenteric arteries and veins and the mobilization of splenic flexure are well-known but still debated in western surgical society. The authors reviewed the literature and outlined the rationale and the results of splenic flexure mobilization and complete mesocolic excision in laparoscopic surgery for colorectal cancer.


Splenic flexure mobilization Complete mesocolic excision Laparoscopy Colorectal surgical technique Colorectal cancer 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Association of Surgeons of India 2017

Authors and Affiliations

  • Rosario Vecchio
    • 1
  • Salvatore Marchese
    • 1
  • Eva Intagliata
    • 1
  1. 1.Department of SurgeryUniversity of Catania, Policlinico–Vittorio Emanuele University HospitalCataniaItaly

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