The most important prospective trials have revealed no differences between laparoscopic and open surgery in terms of lymph node harvest and resection margins clearance. Laparoscopic surgery of colon cancer has been the subject of great interest since the first reports in 1991. ConclusionsĪlthough 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. As regard major postoperative complications, one case of postoperative acute pancreatitis and one case of postoperative bleeding from the anastomotic suture line were reported. Mean operative time was 190 min and mean estimated blood loss was equal to 55 ml. The mean number of harvested lymph nodes was 20.8. 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. In 7 cases the anastomosis was performed intracorporeally. Methodsįrom October 2005 to May 2014 laparoscopic splenic flexure resection was performed in 23 patients. 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. This study reviews two Institutions experience in laparoscopic treatment of left colonic flexure cancer. Laparoscopic approach is still considered a challenging procedure. The treatment of colon cancer located in splenic flexure is not standardized.
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