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Laparoscopic resection with intracorporeal anastomosis for colon carcinoma located in the splenic flexure

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Abstract

Background

Treatment of splenic flexure (SF) colon cancer is not standardized. A laparoscopic approach is considered a challenging procedure.

Methods

This review examines a single-institution experience with laparoscopic colon resection for cancer of the SF. Intraoperative, pathologic, and postoperative data of patients who underwent laparoscopic SF resection were reviewed to assess for oncologic safety as well as early- and medium-term outcomes.

Results

Between September 2004 and January 2009, laparoscopic SF resection was performed for 15 patients with SF. Two cases of conversion were reported, and for three patients, colonic resection was robot assisted. In all cases, the anastomosis was completed intracorporeally. The distal margin was 3.8 ± 2.5 cm, and the proximal margin was 7.8 ± 3.7 cm from the tumor site. The mean number of harvested nodes was 9.2 ± 5.3. The mean operative time was 183.6 ± 45 min, and the blood loss was 98 ± 33 ml. No major morbidity was recorded.

Conclusions

Laparoscopic partial resection seems to be feasible and safe for the treatment of early-stage and locally advanced SF cancer.

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Acknowledgments

The authors thank Dr Luigi Maria Lapalorcia for language revision and the nurse staff of the Operating Block, Department of Surgery, Hospital San Matteo degli Infermi for their daily work.

Disclosures

Graziano Ceccarelli, Alessia Biancafarina, Alberto Patriti, Alessandro Spaziani, Alberto Bartoli, Raffaele Bellochi, Massimo Codacci Pisanelli, and Luciano Casciola have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, Hospital San Matteo degli Infermi, Via Loreto, 3, 06049, Spoleto, PG, Italy

    Graziano Ceccarelli, Alessia Biancafarina, Alberto Patriti, Alessandro Spaziani, Alberto Bartoli, Raffaele Bellochi, Massimo Codacci Pisanelli & Luciano Casciola

Authors
  1. Graziano Ceccarelli
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  2. Alessia Biancafarina
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  3. Alberto Patriti
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  4. Alessandro Spaziani
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  5. Alberto Bartoli
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  6. Raffaele Bellochi
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  7. Massimo Codacci Pisanelli
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  8. Luciano Casciola
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Corresponding author

Correspondence to Alberto Patriti.

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Ceccarelli, G., Biancafarina, A., Patriti, A. et al. Laparoscopic resection with intracorporeal anastomosis for colon carcinoma located in the splenic flexure. Surg Endosc 24, 1784–1788 (2010). https://doi.org/10.1007/s00464-009-0853-0

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  • DOI: https://doi.org/10.1007/s00464-009-0853-0

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