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A new technique of extreme lateral positioning for laparoscopic splenic flexure mobilization
S Gonsalves1, I Brayshaw, S Maslekar
1The John Goligher Colorectal Unit, St James University Hospital, Leeds, UK.
Aim:
This aim of this study was to describe a novel positioning technique that assists in the expeditious mobilization of the splenic flexure without the need for redraping or compromise of port placement.
Method:
A prospective case series was studied to evaluate the technique and its ability to facilitate splenic flexure mobilization.
Results:
The technique was used in 12 patients. There were no adverse intra- or postoperative events. The median time (interquartile range) for laparoscopic splenic flexure mobilisation was 10 (9-11.25).
Conclusion:
This novel positioning technique is safe and feasible. We include a detailed video that describes and demonstrates the requisites for its safe conduct. We also include intra-operative footage demonstrating the benefits of the patient's position.
