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Oncological and Clinical Impacts of Routine Splenic Flexure Mobilization in Anterior Resection.
Cureus
November 2024
Colorectal Surgery, The Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Background Splenic flexure mobilization (SFM) is widely regarded as one of the most challenging steps in laparoscopic and robotic colorectal surgery, sparking ongoing debate. Some surgeons routinely advocate for SFM, citing its role in achieving greater left colonic reach, which facilitates a safe, tension-free, and well-vascularized anastomosis while adhering to oncological principles. Conversely, others argue that SFM does not consistently ensure these benefits and may increase the risk of complications, including splenic, bowel, or vascular injuries, as well as unnecessarily prolonging the procedure.
View Article and Find Full Text PDF[Modern approaches in endovascular and endoscopic treatment of isolated splenic injury].
Khirurgiia (Mosk)
December 2024
Botkin Hospital, Moscow, Russia.
Objective: To analyze treatment outcomes in patients with traumatic spleen injury and improve their management through introduction of modern approaches.
Material And Methods: We retrospectively analyzed treatment outcomes in 126 patients with spleen injury who underwent surgery between 2018 and 2023. Analysis was performed using Excel and Statistica software, as well as Spearman correlation and χ tests.
Correction: Association between nighttime/weekend visits and patient outcomes in children with blunt liver and spleen injuries.
Pediatr Surg Int
December 2024
Department of Surgery, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa, 904-2293, Japan.
Purpose: We compare the treatment and outcomes of penetrating and blunt splenic trauma at Major Trauma Centres (MTC) within the UK.
Methods: Data obtained from the national Trauma Audit Research Network database identified all eligible splenic injuries admitted to MTC within England between 01/01/17-31/12/21. Demographics, mechanism of injury, splenic injury classification, associated injuries, treatment, and outcomes were compared.
Splenic injury associated with colonoscopy in hospitalized patients: Incidence, risk factors, management, and outcome.
Endosc Int Open
December 2024
Techniker Krankenkasse, Hamburg, Germany.
The frequency of splenic injuries due to coloscopy is largely unknown. Therefore, the aim of this study was to give estimate the risk for hospitalized patients. Using the administrative database from a health insurance company with more than 10 million insured subjects, patients undergoing inpatient colonoscopy associated with a splenic injury within 2 weeks were retrieved from the administrative records based upon OPS (comparable to International Classification of Procedures in Medicine) and ICD-10 codes.
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