Laparoscopic resection of transverse colon cancer at splenic flexure resulted in acceptable short-term and oncologic long-term outcomes. Regarding oncologic long-term outcomes, there were no significant differences between OC and LAC. There was no conversion in LAC and no significant difference in the postoperative complications. However, blood loss was less, recovery of bowel function and hospital stay were shorter in LAC. Short-term and oncologic long-term outcomes were recorded. 61 laparoscopic surgeries (LAC) and 34 conventional open surgeries (OC) from December 1996 to December 2009 were evaluated. This cohort study analyzed 95 patients with stage II (43) and III (52) underwent resection of transverse colon cancer at splenic flexure. Third, safe takedown of splenic flexure to fully mobilization of left hemicolon is mandatory. Secondary, anatomical dissection of mesocolon through medial approach is indispensible. First of all, we have to precisely identify major vessels variations feeding tumor. To overcome the difficulty in laparoscopic resection of transverse colon cancer at splenic flexure, we recognized the following technical tips as essential. The aim of this study was to investigate its technical aspects such as pitfalls and overcoming them, and to demonstrate the short-term and oncologic long-term outcomes. Laparoscopic resection of transverse colon cancer at splenic flexure is technical demanding and its efficacy remains controversial. Okuda, Junji Yamamoto, Masashi Tanaka, Keitaro Masubuchi, Shinsuke Uchiyama, Kazuhisa Laparoscopic resection of transverse colon cancer at splenic flexure: technical aspects and results.

Muscle spasms near the splenic flexture