{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:04:43Z","timestamp":1777921483771,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Standardized protocols for laparoscopic surgery of splenic flexure cancer (SFC) have not been established yet. We described a standardized laparoscopic procedure for SFCs and examined its safety and feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Laparoscopic colectomy for SFC was performed as follows. The sigmoid colon was mobilized to the descending mesocolon through the medial approach. After confirming the base of the inferior mesenteric artery, the left colic artery was dissected and resected at the base. Further dissection was carried out between the mesentery of the colon and the renal fascia until it exceeded the upper pole of the left kidney and the splenic flexure. The next dissection reached the white line at the lateral side and the sigmoid\u2013descending colon junction. After making an incision at the greater omentum and gastrocolic ligament from the center of the transverse colon to the splenic flexure, the transverse mesocolon base was dissected from the inside splenic flexure for complete mobilization. This was performed by approaching from four directions toward the splenic flexure. Intestinal resection and anastomosis are performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>This procedure was performed in 70 patients with splenic flexure colon cancer (mean age 70 years). The mean operative time was 190 minutes, and the mean blood loss was 2.0\u2009mL. No notable perioperative or postoperative complications were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Safe mobilization of the splenic flexure can be achieved by approaching from four directions, and standardization of left colectomy can facilitate complete mesenteric excision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0709","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T12:37:28Z","timestamp":1606135048000},"page":"1014-1018","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic Colectomy for Splenic Flexure Cancer Approached from Four Directions"],"prefix":"10.1177","volume":"31","author":[{"given":"Hiroki","family":"Hashida","sequence":"first","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Kita","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Uryuhara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Kaihara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555427"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053691"},{"key":"e_1_3_3_4_2","first-page":"183","article-title":"Laparoscopy-assisted sigmoid resection","volume":"1","author":"Fowler DL","year":"1991","unstructured":"Fowler DL, , White SA. Laparoscopy-assisted sigmoid resection. Surg Laparosc Endosc, 1991; 1:183\u2013188.","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_3_3_5_2","first-page":"144","article-title":"Minimally invasive colon resection (laparoscopic colectomy)","volume":"1","author":"Jacobs M","year":"1991","unstructured":"Jacobs M, , Verdeja JC, , Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc, 1991; 1:144\u2013150.","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_3_3_6_2","first-page":"2050","article-title":"Abstracted from: Nelson H, Sargent D, Wieand HS, et al; for the Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer","volume":"2004","author":"Laparoscopically assisted colectomy is as safe and effective as open colectomy in people with colon cancer","year":"2004","unstructured":"Laparoscopically assisted colectomy is as safe and effective as open colectomy in people with colon cancer. Abstracted from: Nelson H, Sargent D, Wieand HS, et al; for the Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med, 2004; 350: 2050\u20132059. Cancer Treat Rev, 2004; 30:707\u2013709.","journal-title":"N Engl J Med"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66545-2"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09290-5"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005950170169"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-014-1971-2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-015-0301-7"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.7.668"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0203000516"},{"key":"e_1_3_3_14_2","volume-title":"TNM Classification of Malignant Tumours","author":"Brierley JD","year":"2017","unstructured":"Brierley JD, , Gospodarowicz MK, , Wittekind C. TNM Classification of Malignant Tumours. 8th ed. 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