Lymph node metastases in splenic flexure colon cancer: Is subtotal colectomy warranted?

Background And Objectives: Tumors of the splenic flexure (TSF) can be associated with metastatic lymph nodes (LN) along the left colic pedicle, but also along the superior mesenteric vessels. We aimed to detail the anatomical distribution of metastatic LNs in patients undergoing elective subtotal colectomy for TSF.

Method: Between 2000 and 2016, 65 patients were included.