title: Notes of robotic surgical technique: four ways to mobilize splenic flexure.
abstract: Splenic flexure mobilization is a challenging surgical procedure, but is it necessary to safely perform left colon and rectal resections. This paper is a technical focus detailing the four ways to mobilize splenic flexure in robotic surgery. The medial approach involves an extensive dissection of the medial plane separating descending mesocolon form Toldt fascia; the sovramesocolic approach starts with gastrocolic ligament section; the lateral approach starts with coloparietal detachment and the "one inch-one inch" approach starts with section of transverse mesocolon.
authors.affiliation: Division of Hepatobiliary and Pancreatic Surgery, European Institute of Oncology, Milan, Italy - wanda.petz@ieo.it.
authors.forename: Wanda
authors.initials: W
authors.lastname: Petz
authors.forename: Dario
authors.initials: D
authors.lastname: Ribero
authors.forename: Emilio
authors.initials: E
authors.lastname: Bertani
authors.forename: Maria L
authors.initials: ML
authors.lastname: Polizzi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Spinoglio
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods*; D044684:Colon, Transverse / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D004210:Dissection / Q000379:methods; D018475:Head-Down Tilt; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D065287:Robotic Surgical Procedures / Q000379:methods*