Splenic flexure mobilization: does body topography matter?

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dc.contributor.authorAkyol, Habil Akansel
dc.contributor.authorArslan, Naciye Çiğdem
dc.contributor.authorKoçak, Mehmet
dc.contributor.authorShahhosseini, Reza
dc.contributor.authorPekuz, Çağlar Kazım
dc.contributor.authorHaksal, Mustafa
dc.contributor.authorÖncel, Mustafa
dc.date.accessioned2025-12-10T12:47:44Z
dc.date.available2025-12-10T12:47:44Z
dc.date.issued2025
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Biyoistatistik ve Tıp Bilişimi Ana Bilim Dalı
dc.description.abstractBackground: Splenic flexure mobilization can be technically challenging, and its oncological benefits remain uncertain. This study aims to explore the relationship between patient and clinical characteristics and splenic flexure mobilization time as well as the implications of prolonged splenic flexure mobilization duration. Methods: This retrospective cohort study includes 105 patients who underwent laparoscopic distal colorectal cancer surgery between 2013 and 2018. The study analyzed patient characteristics, duration of surgical steps, and postoperative outcomes. Splenic flexure mobilization time was assessed using operation videos, and the impact of patient-related factors on splenic flexure mobilization complexity was examined. Results: The study identified significant correlations of higher body mass index (BMI) (p = 0.0086), weight (p = 0.002), and height (p = 0.043) with longer splenic flexure mobilization time. Gender did not significantly influence splenic flexure mobilization duration. Splenic flexure mobilization time was correlated with the durations of other individual surgical steps (Step 1: medial-to-lateral dissection [p = 0.0013], Step 2: pelvic dissection [p = 0.067], Step 3: dissection of white line and mobilization of descending colon [p = 0.0088], Step 5: stapling, resection, extraction of the specimen, and anastomosis [p = 0.04]) and the overall operation time (p < 0.0001). A 10-min cutoff point predicts the total operation time more efficiently than other potential thresholds. Conclusion: This research suggests that patient characteristics including BMI, weight, and height may serve as indicators for prolonged splenic flexure mobilization time in laparoscopic distal colorectal cancer surgery. Longer splenic flexure mobilization durations were correlated with extended durations of other surgical steps. A BMI-based approach to anticipate SFM duration may enhance preoperative planning, potentially aiding in surgical decision-making. Trial registration: E-10840098–772.02–61604 2.2.2019.
dc.identifier.citationAkyol, H. A., Arslan, N. Ç., Koçak, M., Shahhosseini, R., Pekuz, Ç. K., Haksal, M. ... Öncel, M. (2025). Splenic flexure mobilization: does body topography matter?. Techniques in Coloproctology, 29(1). http://dx.doi.org/10.1007/s10151-024-03070-7
dc.identifier.doi10.1007/s10151-024-03070-7
dc.identifier.issn1123-6337
dc.identifier.issn1128-045X
dc.identifier.issue1
dc.identifier.pmid39704824
dc.identifier.scopus2-s2.0-85212693660
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1007/s10151-024-03070-7
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13320
dc.identifier.volume29
dc.identifier.wosWOS:001381570800004
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKoçak, Mehmet
dc.institutionauthorShahhosseini, Reza
dc.institutionauthorHaksal, Mustafa
dc.institutionauthorÖncel, Mustafa
dc.institutionauthorid0000-0002-3386-1734
dc.institutionauthorid0000-0001-8500-7276
dc.institutionauthorid0000-0003-2357-5387
dc.language.isoen
dc.relation.ispartofTechniques in Coloproctology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectLaparoscopy
dc.subjectRectal Cancer
dc.subjectSigmoid Colon Cancer
dc.subjectSplenic Flexure
dc.titleSplenic flexure mobilization: does body topography matter?
dc.typeArticle

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