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Pryn P.S.

Research Institute — Ochapovsky Regional Clinical Hospital No.1 of the Ministry of Health of the Krasnodar Region, Krasnodar, Russia

Polovinkin V.V.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodar;
kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo, Krasnodar

Splenic flexure mobilization in surgery for rectal cancer

Authors:

Pryn P.S., Polovinkin V.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(1): 94‑99

DOI: 10.17116/hirurgia202001194

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SPLENIC FLEXURE MOBILIZATION IN SURGERY FOR RECTAL CANCER
SPLENIC FLEXURE MOBILIZATION IN SURGERY FOR RECTAL CANCER

To cite this article:

Pryn PS, Polovinkin VV. Splenic flexure mobilization in surgery for rectal cancer. Pirogov Russian Journal of Surgery. 2020;(1):94‑99. (In Russ.)
https://doi.org/10.17116/hirurgia202001194

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Nowadays, the issue of splenic flexure mobilization (SFM) in anterior and low anterior rectal resection for rectal cancer is still debatable. This stage is important because dissection results tension-free anastomosis and excision of specimen of enough length with adequate number of harvested lymph nodes. However, literature review confirmed the absence of agreement regarding reduced incidence of colorectal anastomotic leakage and improved long-term oncologic outcomes after SFM. Opinion about selective approach to this procedure is becoming more common. Therefore, randomized trials are necessary to determine a need for routine SFM or indications for selective approach to SFM in anterior rectal resection for rectal cancer.

Keywords:

rectal cancer
splenic flexure mobilization
anterior rectal resection

Authors:

Pryn P.S.

Research Institute — Ochapovsky Regional Clinical Hospital No.1 of the Ministry of Health of the Krasnodar Region, Krasnodar, Russia

Polovinkin V.V.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodar;
kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo, Krasnodar

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