Splenic flexure mobilization: does body topography matter?

Basit Öğe Kaydı
dc.contributor.authorAkyol, Hüseyin
dc.contributor.authorArslan, N. C.
dc.contributor.authorKocak, M.
dc.contributor.authorShahhosseini, R.
dc.contributor.authorPekuz, C. K.
dc.contributor.authorHaksal, M.
dc.contributor.authorGogenur, I.
dc.contributor.authorOnel, Mustafa
dc.date.accessioned2024-12-23T09:44:19Z
dc.date.available2024-12-23T09:44:19Z
dc.date.issued2024en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü,Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractBackground: Splenic flexure mobilization can be technically challenging, and its oncological benefits remain uncertain. This study aims to explore the relationship between patient and clinical characteristics and splenic flexure mobilization time as well as the implications of prolonged splenic flexure mobilization duration. Methods: This retrospective cohort study includes 105 patients who underwent laparoscopic distal colorectal cancer surgery between 2013 and 2018. The study analyzed patient characteristics, duration of surgical steps, and postoperative outcomes. Splenic flexure mobilization time was assessed using operation videos, and the impact of patient-related factors on splenic flexure mobilization complexity was examined. Results: The study identified significant correlations of higher body mass index (BMI) (p = 0.0086), weight (p = 0.002), and height (p = 0.043) with longer splenic flexure mobilization time. Gender did not significantly influence splenic flexure mobilization duration. Splenic flexure mobilization time was correlated with the durations of other individual surgical steps (Step 1: medial-to-lateral dissection [p = 0.0013], Step 2: pelvic dissection [p = 0.067], Step 3: dissection of white line and mobilization of descending colon [p = 0.0088], Step 5: stapling, resection, extraction of the specimen, and anastomosis [p = 0.04]) and the overall operation time (p < 0.0001). A 10-min cutoff point predicts the total operation time more efficiently than other potential thresholds. Conclusion: This research suggests that patient characteristics including BMI, weight, and height may serve as indicators for prolonged splenic flexure mobilization time in laparoscopic distal colorectal cancer surgery. Longer splenic flexure mobilization durations were correlated with extended durations of other surgical steps. A BMI-based approach to anticipate SFM duration may enhance preoperative planning, potentially aiding in surgical decision-making.en_US
dc.identifier.citationAkyol, H., Arslan, N. C., Kocak, M., Shahhosseini, R., Pekuz, C. K., Haksal, M., Gogenur, I., Oncel, M. (2024). Splenic flexure mobilization: does body topography matter?. Techniques in Coloproctology, 29(1). 10.1007/s10151-024-03070-7en_US
dc.identifier.issn1123-6337
dc.identifier.issn1128-045X
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85212693660
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5093
dc.identifier.volume29en_US
dc.identifier.wosWOS:001381570800004
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAkyol, Hüseyin
dc.language.isoen
dc.relation.ispartofTechniques in Coloproctology
dc.relation.isversionof10.1007/s10151-024-03070-7en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectRectal canceren_US
dc.subjectSigmoid colon canceren_US
dc.subjectSplenic flexureen_US
dc.titleSplenic flexure mobilization: does body topography matter?
dc.typeArticle

Dosyalar

Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

PubMed İndeksli Yayınlar Koleksiyonu
Cerrahi Tıp Bilimleri Bölümü Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu