Unveiling the hidden: identification and management of overlooked blood vessels in laparoscopic left hemicolectomy for splenic flexure cancer
Wenjun Luo, Peng Chen, Qiang Du, Lie Yang, Zongguang Zhou
TL;DR
This study identifies a previously overlooked blood vessel during a specific laparoscopic surgery for splenic flexure cancer and proposes a method to manage it safely.
Contribution
The study identifies the omental branch of the left gastroepiploic artery and vein as a consistently overlooked vessel and provides a safe management method.
Findings
The overlooked vessels were consistently present in all patients and identified as the omental branch of the left gastroepiploic artery and vein.
Using the 'five-step process' allows effective exposure and management of these vessels during surgery.
Abstract
During laparoscopic left hemicolectomy procedures, a previously overlooked consistently thick blood vessel within the gastrocolic ligament near the splenic hilum may contribute to post-operative bleeding complications. The purpose of this study was to investigate the identification and management of the previously overlooked blood vessel. This is a retrospective descriptive study of patients undergoing laparoscopic left colectomy for splenic fexure cancer conducted at a national gastrointestinal surgery centre in China. Consecutive patients with splenic fexure cancer who underwent laparoscopic left colectomy using our“five-step process”(n = 34) between January 2021 and July 2023 were included. The vessels can be effectively exposed using the aforementioned “five-step process.” It was observed that the overlooked vessels consistently present in all patients were identified as the…
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Taxonomy
TopicsGastric Cancer Management and Outcomes · Gastrointestinal Tumor Research and Treatment · Minimally Invasive Surgical Techniques