The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

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

Read: 6674 times


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

References:

  1. Sostoyaniye onkologicheskoi pomoshchi naseleniyu Rossii v 2016 godu. Pod red. Kaprina AD, Starinskogo VV, Petrovoy GV. M.: MNIOI im. P.A. Gertsena — filial FGBU «NMITS radiologii» Minzdrava Rossii, 2017. (In Russ.)
  2. Aleksandrov VB. Rak pryamoi kishki. M.: Vuzovskaya kniga, 2001. (In Russ.)
  3. Kolorektal’nyi rak. Pod red. Vorob’ya AV. Minsk: Zorny verasen’, 2005. (In Russ.).
  4. Zakharenko AA, Belyaev MA, Kanaev SV, Semiglazov VV. Regional lymph nodes metastases – one of the most important reason of local recurrence for rectal cancer (review). Onkologiya. 2014;15:427-447. (In Russ.)
  5. Abelevich AI. Low anterior resection of the rectum in malignant tumors. Meditsinskiy al’manakh. 2010;10(1):173-176. (In Russ.)
  6. Gouvas N, Gogos-Pappas G, Tsimogiannis K, Agalianos C, Tsimoyiannis E, Dervenis C, Xynos E. Impact of splenic flexure mobilization on short-term outcomes after laparoscopic left colectomy for colorectal cancer. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 2014;24(5):470-474. https://doi.org/10.1097/sle.0b013e31829ce62a
  7. Chernikovsky IL, Aliyev II, Smirnov AA, Savanovich NV, Gavrilyukov AV. Mobilization of splenic flexure during rectal resection. Sibirskiy onkologicheskiy zhurnal. 2017;16(5):55-62. (In Russ.) https://doi.org/10.21294/1814-4861-2017-16-5-55-62
  8. Brennan DJ, Moynagh M, Brannigan AE, Gleeson F, Rowland M, O’Connell PR. Routine mobilization of the splenic flexure is not necessary during anterior resection for rectal cancer. Diseases of the Colon & Rectum. 2007;50(3):302-307. https://doi.org/10.1007/10350-006-0811-z
  9. Dixon AR, Holmes JT. Colorectal anastomotic integrity after anterior resection: is there a role for intraoperative testing? Journal of the Royal College of Surgeons of Edinburgh. 1991;36(1):35-36.
  10. Tulina IA, Zhurkovskiy VI, Bredikhin MI, Tsugulya PB, Tsar’kov PV. Selective approach for splenic flexure mobilization in total mesorectal excision followed by low colorectal anastomoses. Khirurgiya. Zhurnal im. NI Pirogova. 2018;(7):41-46. (In Russ.) https://doi.org/10.17116/hirurgia2018741
  11. Gravante G, Parker R, Elshaer M, Mogekwu AC, Humayun N, Thomas K, Thomson R, Hudson S, Sorge R, Gardiner K, Al-Hamali S, Rashed M, Kelkar A, El-Rabaa S. Lymph node retrieval for colorectal cancer: Estimation of the minimum resection length to achieve at least 12 lymph nodes for the pathological analysis. International Journal of Surgery. 2016;25:153-157. https://doi.org/10.1016/j.ijsu.2015.12.062
  12. Katory M, Tang CL, Koh WL, Fook-Chong SM, Loi TT, Ooi BS, Ho KS, Eu KW. A 6-year review of surgical morbidity and oncological outcome after high anterior resection for colorectal malignancy with and without splenic flexure mobilization. Colorectal Disease. 2008;10(2):165-169. https://doi.org/10.1111/j.1463-1318.2007.01265.x
  13. Tubbs RS, Loukas M, Shoja MM. Bergman’s Comprehensive Encyclopedia of Human Anatomic Variation. John Wiley & Sons; 2016.
  14. Garcia-Granero A, Sánchez-Guillén L, Carreño O, Sancho Muriel J, Alvarez Sarrado E, Fletcher Sanfeliu D, Flor Lorente B, Frasson M, Martinez Soriano F, Garcia-Granero E. Importance of the Moskowitz artery in the laparoscopic medial approach to splenic flexure mobilization: a cadaveric study. Techniques in Coloproctology. 2017;21(7):567-572. https://doi.org/10.1007/s10151-017-1663-3
  15. Toh JWT, Matthews R, Kim SH. Arc of Riolan-Preserving Splenic Flexure Takedown During Anterior Resection: Potentially Critical to Prevent Acute Anastomotic Ischemia. Diseases of the Colon & Rectum. 2018;61(3):411-414. https://doi.org/10.1097/dcr.0000000000000995
  16. Benseler V, Hornung M, Iesalnieks I, von Breitenbuch P, Glockzin G, Schlitt HJ, Agha A. Different approaches for complete mobilization of the splenic flexure during laparoscopic rectal cancer resection. International Journal of Colorectal Disease. 2012;27(11):1521-1529. https://doi.org/10.1007/s00384-012-1495-6
  17. Kim HJ, Kim CH, Lim SW, Huh JW, Kim YJ, Kim HR. An extended medial to lateral approach to mobilize the splenic flexure during laparoscopic low anterior resection. Colorectal Disease. 2013;15(2):93-98. https://doi.org/10.1111/codi.12056
  18. Araujo SE, Seid VE, Kim NJ, Bertoncini AB, Nahas SC, Cecconello I. Assessing the extent of colon lengthening due to splenic flexure mobilization techniques: a cadaver study. Arquivos de Gastroenterologia. 2012;49(3):219-222. https://doi.org/10.1590/s0004-28032012000300010
  19. Thum-umnuaysuk S, Boonyapibal A, Geng YY, Pattana-Arun J. Lengthening of the colon for low rectal anastomosis in a cadaveric study: how much can we gain? Techniques in Coloproctology. 2012;17(4):377-381. https://doi.org/10.1007/s10151-012-0930-6
  20. Kim HJ, Kim CH, Lim SW, Huh JW, Kim YJ, Kim HR. How Much Colonic Redundancy Could Be Obtained by Splenic Flexure Mobilization in Laparoscopic Anterior or Low Anterior Resection? International Journal of Medical Sciences. 2014;11(9):857-862. https://doi.org/10.7150/ijms.8874
  21. Reddy SH, Gupta V, Yadav TD, Singh G, Sahni D. Lengthening of left colon after rectal resection: what all is adequate? A prospective cohort study. International Journal of Surgery. 2016;31:27-32. https://doi.org/10.1016/j.ijsu.2016.05.042
  22. McGory ML, Zingmond DS, Sekeris E, Ko CY. The significance of inadvertent splenectomy during colorectal cancer resection. Archives of Surgery. 2007;142(7):668-674. https://doi.org/10.1001/archsurg.142.7.668
  23. Mouw TJ, King C, Ashcraft JH, Valentino JD, DiPasco PJ, Al-Kasspooles M. Routine splenic flexure mobilization may increase compliance with pathological quality metrics in patients undergoing low anterior resection. Colorectal Disease. 2018;21(1):23-29. https://doi.org/10.1111/codi.14404
  24. Carlson RM, Roberts PL, Hall JF, Marcello PW, Schoetz DJ, Read TE, Ricciardi R. What are 30-day postoperative outcomes following splenic flexure mobilization during anterior resection? Techniques in Coloproctology. 2013;18(3):257-264. https://doi.org/10.1007/s10151-013-1049-0
  25. Kim J, Choi DJ, Kim SH. Laparoscopic rectal resection without splenic flexure mobilization: a prospective study assessing anastomotic safety. Hepatogastroenterology. 2009;56(94-95):1354-1358.
  26. Merchea A, Dozois EJ, Wang JK, Larson DW. Anatomic mechanisms for splenic injury during colorectal surgery. Clinical Anatomy. 2012;25(2): 212-217. https://doi.org/10.1002/ca.21221
  27. Kim IY, Kim BR, Kim YW. The impact of anastomotic leakage on oncologic outcomes and the receipt and timing of adjuvant chemotherapy after colorectal cancer surgery. International Journal of Surgery. 2015;22:3-9. https://doi.org/10.1016/j.ijsu.2015.08.017
  28. Kudszus S, Roesel C, Schachtrupp A, Höer JJ. Intraoperative laser fluorescence angiography in colorectal surgery: a noninvasive analysis to reduce the rate of anastomotic leakage. Langenbeck’s Archives of Surgery. 2010;395(8):1025-1030. https://doi.org/10.1007/s00423-010-0699-x
  29. Mirnezami A, Mirnezami R, Chandrakumaran K, Sasapu K, Sagar P, Finan P. Increased local recurrence and reduced survival from colorectal cancer following anastomotic leak: systematic review and metaanalysis. Annals of Surgery. 2011;253(5):890-899. https://doi.org/10.1097/sla.0b013e3182128929
  30. Park JS, Kang SB, Kim DW, Lee KH, Kim YH. Laparoscopic versus open resection without splenic flexure mobilization for the treatment of rectum and sigmoid cancer: a study from a single institution that selectively used splenic flexure mobilization . Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 2009;19(1):62-68. https://doi.org/10.1097/sle.0b013e318196cdb0
  31. Gruba LN, Magomedov MS, Vasilenko KV, Lebedev IS, Yegiyev VN. The surgeon’s view on the failure of the colonic anastomosis suture. Risk factors (literature review). Moskovskiy khirurgicheskiy zhurnal. 2015;(6):11-21. (In Russ.)
  32. Frasson M, Flor-Lorente B, Rodríguez JL, Granero-Castro P, Hervás D, Alvarez Rico MA, Brao MJ, Sánchez González JM, Garcia-Granero E; ANACO Study Group. Risk Factors for Anastomotic Leak after Colon Resection for Cancer: Multivariate Analysis and nomogram From a Multicentric, Prospective, national Study with 3193 Patients. Annals of Surgery. 2015;262(2):321-330. https://doi.org/10.1097/sla.0000000000000973
  33. Liu Y, Wan X, Wang G, Ren Y, Cheng Y, Zhao Y, Han G. A scoring system to predict the risk of anastomotic leakage after anterior resection for rectal cancer. Journal of Surgical Oncology. 2014;109(2):122-155. https://doi.org/10.1002/jso.23467
  34. Post IL, Verheijen PM, Pronk A, Siccama I, Houweling PL. Intraoperative blood pressure changes as a risk factor for anastomotic leakage in colorectal surgery. International Journal of Colorectal Disease. 2012;27(6):765-772. https://doi.org/10.1007/s00384-011-1381-7
  35. Qu H, Liu Y, Bi DS. Clinical risk factors for anastomotic leakage of a laparoscopic anterior resection for rectal cancer: a systematic review and metaanalysis. Surgical Endoscopy. 2015;29(12):3608-3617. https://doi.org/10.1007/s00464-015-4117-x
  36. Parthasarathy M, Greensmith M, Bowers D, Groot-Wassink T. Risk factors for anastomotic leakage after colorectal resection: a retrospective analysis of 17 518 patients. Colorectal Disease. 2017;19(3):288-298. https://doi.org/10.1111/codi.13476
  37. Nowakowski M, Małczak P, Mizera M, Rubinkiewicz M, Lasek A, Wierdak M, Major P, Budzyński A, Pędziwiatr M. The Safety of Selective Use of Splenic Flexure Mobilization in Sigmoid and Rectal Resections-Systematic Review and Metaanalysis. Journal of Clinical Medicine. 2018;11(7):392. https://doi.org/10.3390/jcm7110392
  38. Taflampas P, Christodoulakis M, Tsiftsis DD. Anastomotic leakage after low anterior resection for rectal cancer: facts, obscurity, and fiction. Surgery Today. 2009;39(3):183-188. https://doi.org/10.1007/s00595-008-3835-2
  39. Karanjia ND, Corder AP, Bearn P, Heald RJ. Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum. British Journal of Surgery.1994;81(8):1224-1226. https://doi.org/10.1002/bjs.1800810850
  40. Hall NR, Finan PJ, Stephenson BM, Lowndes RH, Young HL. High tie of the inferior mesenteric artery in distal colorectal resections — a safe vascular procedure. International Journal of Colorectal Disease.1995;10(1):29-32. https://doi.org/10.1007/bf00337583
  41. Lange MM, Buunen M, van de Velde CJ, Lange JF. Level of arterial ligation in rectal cancer surgery: low tie preferred over high tie. A review. Diseases of the Colon & Rectum. 2008;51(7):1139-1145. https://doi.org/10.1007/s10350-008-9328-y
  42. Cirocchi R, Trastulli S, Farinella E, Desiderio J, Vettoretto N, Parisi A, Boselli C, Noya G. High tie versus low tie of the inferior mesenteric artery in colorectal cancer: a RCT is needed. Surgical Oncology. 2012;21(3):111-123. https://doi.org/10.1016/j.suronc.2012.04.004
  43. Kim CH, Lee SY, Kim HR, Kim YJ. Nomogram Prediction of Anastomotic Leakage and Determination of an Effective Surgical Strategy for Reducing Anastomotic Leakage after Laparoscopic Rectal Cancer Surgery. Gastroenterology Research and Practice. 2017;2017:1-8. https://doi.org/10.1155/2017/4510561
  44. Ludwig KA, Kosinski L. Is splenic flexure mobilization necessary in laparoscopic anterior resection? Another view. Diseases of the Colon & Rectum. 2012;55(11):1198-1200. https://doi.org/10.1097/dcr.0b013e3182688011
  45. Betge J, Harbaum L, Pollheimer MJ, Lindtner RA, Kornprat P, Ebert MP, Langner C. Lymph node retrieval in colorectal cancer: determining factors and prognostic significance. International Journal of Colorectal Disease. 2017;32(7):991-998. https://doi.org/10.1007/s00384-017-2778-8
  46. Ouaïssi M, Mege D, Giger U, Iannelli A, Lassey J, Pirrò N, Sielezneff I, Sastre B. Is routine splenic flexure mobilization always mandatory for left colectomy? A comparative study of 80 patients with adenocarcinoma of the sigmoid colon. The American Surgeon. 2013;79(12):1305-1308.
  47. Ferrara F, Di Gioia G, Gentile D, Carrara G, Gobatti D, Stella M. Splenic flexure mobilization in rectal cancer surgery: do we always need it? Updates in Surgery. 2018. https://doi.org/10.1007/s13304-018-0603-8
  48. Stracci F, Bianconi F, Leite S, Liso A, La Rosa F, Lancellotta V, van de Velde CJ, Aristei C. Linking surgical specimen length and examined lymph nodes in colorectal cancer patients. European Journal of Surgical Oncology (EJSO). 2016;42(2):260-265. https://doi.org/10.1016/j.ejso.2015.11.017
  49. Chin CC, Yeh CY, Tang R, Changchien CR, Huang WS, Wang JY. The oncologic benefit of high ligation of the inferior mesenteric artery in the surgical treatment of rectal or sigmoid colon cancer. International Journal of Colorectal Disease. 2008;23(8):783-788. https://doi.org/10.1007/s00384-008-0465-5
  50. Pezim ME, Nicholls RJ. Survival after high or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer. Annals of Surgery.1984;200(6):729-733. https://doi.org/10.1097/00000658-198412000-00010
  51. Surtees P, Ritchie JK, Phillips RK. High versus low ligation of the inferior mesenteric artery in rectal cancer. British Journal of Surgery. 1990;77(6):618-621. https://doi.org/10.1002/bjs.1800770607
  52. Kanemitsu Y, Hirai T, Komori K, Kato T. Survival benefit of high ligation of the inferior mesenteric artery in sigmoid colon or rectal cancer surgery. British Journal of Surgery. 2006;93(5):609-615. https://doi.org/10.1002/bjs.5327
  53. Tekkis PP, Smith JJ, Heriot AG, Darzi AW, Thompson MR, Stamatakis JD; Association of Coloproctology of Great Britain and Ireland. A national study on lymph node retrieval in resectional surgery for colorectal cancer. Diseases of the Colon & Rectum. 2006;49(11):1673-1683. https://doi.org/10.1007/s10350-006-0691-2
  54. Titu LV, Tweedle E, Rooney PS. High tie of the inferior mesenteric artery in curative surgery for left colonic and rectal cancers: a systematic review. Digestive Surgery. 2008;25(2):148-157. https://doi.org/10.1159/000128172
  55. Konishi T, Watanabe T, Kishimoto J, Nagawa H. Risk factors for anastomotic leakage after surgery for colorectal cancer: results of prospective surveillance. American College of Surgeons. 2006;202(3):439-444. https://doi.org/10.1016/j.jamcollsurg.2005.10.019

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.