In an updated meta-analysis ( 9), a study concluded that the procedures include splenic flexure colectomy (SFC), left hemicolectomy (LHC), extended right hemicolectomy (ERHC) and subtotal colectomy (STC). Confusing nomenclature is often found in the literature ( 8). There is also some confusion regarding the definition of operations for splenic flexure cancer. Various extents of resection have been proposed, from extended procedures to segmental resection. Lymphatic drainage is variable and incompletely understood in the splenic flexure. No consensus has been reached regarding the optimal extent of radical surgery for splenic colon cancer. However, many studies have found no difference in survival compared to that of other colon cancers ( 4, 7). According to reports, splenic flexure cancer is associated with a poor prognosis due to a high risk of obstruction and diagnosis an advantage stage ( 2, 6). Splenic flexure cancer is relatively rare, representing only 2-8% of all colon cancers ( 4, 5). Cancer of the splenic flexure is defined as colon cancer situated between the distal third of the transverse colon and the proximal descending colon within 10 cm of the flexure ( 2, 3). The rate of metastatic lymph nodes at the root of the central artery and gastroepiploic arcade node was relatively low.Ĭolorectal cancer (CRC) is one of the most common gastrointestinal malignancies ( 1). Looking at long-term prognosis, no differences were observed among the three groups regarding both 5-year overall survival (94.0% vs 90.2% vs 94.1%) and disease-free survival (88.2% vs 90.2% vs 83.0%).Ĭonclusion: Our retrospective review suggests that splenic flexure colectomy in minimally invasive surgery is a safe and effective treatment option for splenic flexure colon cancer. No metastatic lymph nodes at the root of the inferior mesenteric artery (IMA) were observed lymph node metastasis appeared at the root of the middle colic artery (MCA), but in a low proportion of cases (4.4%). No statistically significant differences were found among the groups regarding postoperative complications, pathological data or recurrence. We retrospectively compared the postoperative, pathological and long-term outcomes of patients with splenic flexure cancer. Methods: Between January 2011 and December 2018, 117 patients with splenic flexure cancer were enrolled in the study. 2Department of Pathology, Fujian Medical University Union Hospital, Fuzhou, Chinaīackground: The aim of this study was to compare the short- and long-term outcomes of splenic flexure colectomy (SFC), left hemicolectomy (LHC) and extended left hemicolectomy (ELHC) for splenic flexure colon cancer.1Department of Colorectal Surgery, Fujian Medical University Union Hospital,.Diarrhea, constipation and changes in the size and shape of the stool may occur.Mingjin Huang 1†, Xiaojie Wang 1†, Yu Shao 2†, Shenghui Huang 1, Ying Huang 1* and Pan Chi 1* The pain may only last minutes, but when it recurs it does so many times for weeks or months on end. Occasionally, eating may aggravate the pain. The pain may be relieved by passing stool or gas. Left upper abdominal pain is the most common symptom. Signs and Symptoms of Splenic Flexure Syndrome It is thought to be due to distension or spasm of the splenic flexure of the colon. Splenic flexure syndrome is a very common cause of left upper abdominal pain. ![]() ![]() ![]() When these episodes occur, they tend to come in clusters lasting weeks or months at a time. Changes in the size and shape of the stool may occur. Food occasionally may aggravate pain and may be associated with diarrhea or constipation. Passage of stool or gas may relieve the abdominal discomfort. The splenic flexure is that portion of the colon or large intestine that changes direction from horizontal to vertical in the left upper abdomen, adjacent to the spleen. Pain in the left upper abdomen may in some cases result from distension or spasm of the splenic flexure of the colon.
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