Laparoscopic Resection of The Splenic Flexure

Abstract

The splenic flexure is a critical junction in the colon, characterized by variable vascular anatomy with contributions from both the superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). Resection at this site is required in a variety of clinical settings, including colorectal cancer, diverticulitis, ischemic colitis, and benign strictures. Historically, resections of the splenic flexure were performed via open surgery due to the difficulty of mobilization and lymphadenectomy in this region. However, laparoscopic resection has emerged as a feasible and safe alternative when performed by experienced surgeons, supported by evidence showing comparable oncologic outcomes with added benefits in recovery.