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The purpose of this study was to investigate the identification and management of the previously overlooked blood vessel.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a retrospective descriptive study of patients undergoing laparoscopic left colectomy for splenic fexure cancer conducted at a national gastrointestinal surgery centre in China. Consecutive patients with splenic fexure cancer who underwent laparoscopic left colectomy using our\u201cfive-step process\u201d(<jats:italic>n<\/jats:italic>\u2009=\u200934) between January 2021 and July 2023 were included.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The vessels can be effectively exposed using the aforementioned \u201cfive-step process.\u201d It was observed that the overlooked vessels consistently present in all patients were identified as the omental branch of the left gastroepiploic artery and vein.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We have identified the origin of previously overlooked blood vessels and recommended a safe method for their management. This may offer advantages to colorectal surgeons performing laparoscopic left colectomy for splenic flexure cancer<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-024-02424-0","type":"journal-article","created":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T09:01:35Z","timestamp":1714208495000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unveiling the hidden: identification and management of overlooked blood vessels in laparoscopic left hemicolectomy for splenic flexure cancer"],"prefix":"10.1186","volume":"24","author":[{"given":"Wenjun","family":"Luo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Du","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lie","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zongguang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,27]]},"reference":[{"issue":"5","key":"2424_CR1","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1007\/BF02053691","volume":"34","author":"DH Levien","year":"1991","unstructured":"Levien DH, Gibbons S, Begos D, Byrne DW. 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