[Mobilization of splenic flexure - routine or selective (results of a single-center randomized study)].

Objective: To evaluate safety and effectiveness of routine splenic flexure mobilization (SFM) in surgical treatment of rectal cancer (RC).

Material And Methods: A single-center randomized study was performed between 2016 and 2019. Patients were randomized into 2 groups (SFM (+), =156, SFM(-), =67).

[Results of reconstructive surgery with formation of low colorectal anastomoses after previous Hartmann's procedure].

Objective: To evaluate the efficacy and safety of original access to short rectal stump compared to traditional direct one.

Material And Methods: A retrospective-prospective cohort comparative study was conducted between 2012 and 2018. Inclusion criterion was previous Hartmann's procedure with formation of a short rectal stump.

[Splenic flexure mobilization in surgery for rectal cancer].

Nowadays, the issue of splenic flexure mobilization (SFM) in anterior and low anterior rectal resection for rectal cancer is still debatable. This stage is important because dissection results tension-free anastomosis and excision of specimen of enough length with adequate number of harvested lymph nodes. However, literature review confirmed the absence of agreement regarding reduced incidence of colorectal anastomotic leakage and improved long-term oncologic outcomes after SFM.