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Updated: Jan 26, 2026

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Is Segmental Colon Resection an Alternative Treatment for Splenic Flexure Cancer?

Refik Bademci1, Jesus Bollo1, C Martinez Sanchez1

  • 1Division of Colorectal Surgery, Department of Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|April 6, 2019
PubMed
Summary

Segmental colon resection (SCR) is a safe and effective surgical option for splenic flexure tumors. This study found no significant differences in outcomes between SCR and more extensive procedures like subtotal colectomy (STC) or left hemicolectomy (LHC).

Keywords:
left hemicolectomysegmental colon resection (SCR)splenic flexure cancersubtotal colectomy

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Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Gastrointestinal Oncology

Background:

  • Optimal surgical management for splenic flexure cancer remains debated.
  • Commonly employed techniques include subtotal colectomy (STC), left hemicolectomy (LHC), and segmental colon resection (SCR).
  • A lack of consensus exists regarding the most effective surgical approach.

Purpose of the Study:

  • To compare clinicopathological and operative outcomes, morbidity, mortality, and long-term survival.
  • To evaluate the efficacy of STC, LHC, and SCR in patients with splenic flexure cancer.
  • To determine if less aggressive surgical approaches offer comparable results to more extensive resections.

Main Methods:

  • Retrospective analysis of 124 patients who underwent surgery for splenic flexure cancer between 1998 and 2018.
  • Patients were categorized into three groups based on surgical approach: STC (n=41), LHC (n=55), and SCR (n=28).
  • Comparison of operative results, hospital stay, pathological data, mortality, recurrence, and survival rates.

Main Results:

  • No statistically significant differences were observed between the STC, LHC, and SCR groups.
  • Key outcomes including operative results, hospital stay, pathological findings, mortality, recurrence, and long-term survival showed no significant variations.
  • The study found no statistically significant clinical benefits of STC and LHC over the less aggressive SCR approach.

Conclusions:

  • Segmental colon resection (SCR) is a safe and effective alternative for treating splenic flexure tumors.
  • Subtotal colectomy (STC) and left hemicolectomy (LHC) do not offer statistically significant clinical advantages over SCR.
  • The findings support SCR as a viable surgical option for splenic flexure cancer, potentially reducing surgical invasiveness without compromising outcomes.