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Related Experiment Video

Updated: Jun 10, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Right lateral position for laparoscopic splenic flexure mobilization.

R J Frame¹, S Wahed, M K Mohiuddin

¹Department of Colorectal Surgery, Queen Elizabeth Hospital, Sheriff Hill, Gateshead, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|August 20, 2010

Summary

A new laparoscopic technique improves splenic flexure mobilization, even in challenging cases. This method enhances safety and efficiency in abdominal surgery, reducing risks associated with standard procedures.

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Last Updated: Jun 10, 2026

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Area of Science:

Surgical techniques
Minimally invasive surgery
Gastrointestinal surgery

Background:

Standard laparoscopic splenic flexure mobilization can be difficult due to anatomical challenges like redundant small bowel.
Current retraction methods increase the risk of injury to adjacent organs, including the spleen.

Purpose of the Study:

To introduce a novel technique for safe, rapid, and complete laparoscopic splenic flexure mobilization.
To address the challenges encountered in difficult patient cases requiring splenic flexure dissection.

Main Methods:

A new laparoscopic approach was developed and applied.
The technique was utilized in 15 consecutive patients undergoing splenic flexure mobilization.

Main Results:

The technique was successfully implemented in all 15 patients.
Zero mortality, re-operation, or conversion to open surgery was recorded.
The right lateral position provided enhanced visualization of the left upper quadrant.

Conclusions:

The described technique facilitates complete dissection of the splenic flexure from the pancreatic tail.
This method proves effective even in complex cases, ensuring safe and efficient mobilization.
Improved exposure via the right lateral position is key to successful splenic flexure mobilization.