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[Laparoscopic colonic splenic flexure mobilization: surgical technique]
1Département médico-chirurgical de pathologie digestive, Institut mutualiste Montsouris, université Paris VI, 42, boulevard Jourdan, 75674 Paris, France. christine.denet@imm.fr
Annales De Chirurgie
|March 28, 2003
Abstract:
The clue of the mobilization of the splenic flexure is a complete division of the root of the transverse mesocolon along the pancreas. After the section of the terminal part of the inferior mesenteric vein, the retrogastric cavity is opened and the root of the mesocolon is cut from the right to the left onto the parieto-colic attachment. Thereafter the coloepiploic attachments are divided. The retromesocolic dissection is continued from top to bottom without opening the Gerota's fascia.