Laparoscopic Splenic Flexure Mobilization

Is it Necessary to do Splenic Flexure Mobilization in Laparoscopic Resection of Upper Rectal Tumors?

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03001375

Enrollment

140

Registered

2016-12-23

Start date

2011-05-31

Completion date

2016-12-31

Last updated

2016-12-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Splenic Flexure Mobilization

Keywords

Laparoscopic colectomy., Splenic flexure mobilization., Anastomotic leakage.

Brief summary

This retrospective cohort study conducted on 140 patients who underwent laparoscopic anterior resection for upper rectal cancer in the period from May 2011 to November 2015, comparison will be done on splenic flexure mobilization excluding .

Detailed description

Presently, it is acknowledged that laparoscopic colectomy for left sided colorectal cancer is the most common surgery operated in laparoscopic colorectal surgeries, However the most debatable question in such type of operations that is it mandatory to do splenic flexure mobilization or not? In the literatures colorectal surgeons divided into 2 teams, those with splenic flexure mobilization in laparoscopic left colorectal resection to have tension free, well vascularized anastomosis On the other hand those against splenic flexure mobilization reported that omitting this step does not significantly affect the leakage rate, morbidity or the oncological outcomes In this study, we evaluate the necessity of splenic flexure mobilization in laparoscopic anterior resection for upper rectal tumors and its impact on the operative time, total morbidity, leakage rate, oncological safety and continence level

Interventions

PROCEDURELaparoscopic high anterior resection splenic flexure mobilization

PROCEDURELaparoscopic high anterior resection without splenic flexure mobilization

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients with upper rectal tumors.

Exclusion criteria

* Low and mid rectal cancer * Splenic flexure tumors, descending colon cancer, * patients with associated lesions in the right or transverse colon * Emergency cases.

Design outcomes

Primary

Measure	Time frame
the incidence of leakage rate in laparoscopic anterior resection with splenic flexure mobilization versus non mobilization of splenic flexure	One year

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026