Laparoscopic colonic resection for splenic flexure cancer: our experience

BMC Gastroenterology

Marco Montorsi³  Enrico Opocher²  Paolo Bianchi¹  Maria Rachele Angiolini²  Stefano Bona³  Matteo Sacchi³  Nirvana Maroni²  Andrea Pisani Ceretti⁴ 

[1] Department of General Surgery, Istituto Europeo di Oncologia, University of Milano, Milan, Italy;Department of General Surgery II, Ospedale San Paolo, University of Milan, Milan, Italy;Department of General Surgery, Istituto Clinico Humanitas, IRCCS, University of Milan, Milan, Italy;Ospedale San Paolo, via Di Rudinì 8, Milano, 20142, Italy

关键词: Intracorporeal anastomosis;    Splenic flexure;    Colon cancer;    Laparoscopic resection;   

Others  :  1223124
DOI  :  10.1186/s12876-015-0301-7

 received in 2013-05-21, accepted in 2015-06-11,  发布年份 2015

【 摘 要 】

Background

The treatment of colon cancer located in splenic flexure is not standardized. Laparoscopic approach is still considered a challenging procedure. This study reviews two Institutions experience in laparoscopic treatment of left colonic flexure cancer. Intraoperative, pathologic and postoperative data from patients undergoing laparoscopic splenic flexure resection were analyzed to assess oncological safety as well as early and medium-term outcomes.

Methods

From October 2005 to May 2014 laparoscopic splenic flexure resection was performed in 23 patients.

Results

Conversion rate was nihil. In 7 cases the anastomosis was performed intracorporeally. Specimen mean length was 21.2 cm, while the distance of distal and proximal resection margin from tumor site was 6.5 and 11.5 respectively. The mean number of harvested lymph nodes was 20.8. Mean operative time was 190 min and mean estimated blood loss was equal to 55 ml. As regard major postoperative complications, one case of postoperative acute pancreatitis and one case of postoperative bleeding from the anastomotic suture line were reported.

Conclusions

Although our experience is limited and appropriate indications must be set by future randomized studies, we believe that laparoscopic resection with intracorporeal anastomosis appears feasible and safe for patients affected by splenic flexure cancer.

【 授权许可】

   
2015 Ceretti et al.

【 图 表 】

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