splenic flexure mobilization
Pronunciation: SPLEN-ik FLEK-sure
Surgical technique involving division of peritoneal attachments to free the left colic flexure from the spleen and diaphragm.
Full Definition
Splenic flexure mobilization is a complex surgical maneuver that involves division of multiple peritoneal attachments including the phrenocolic, splenorenal, and splenocolic ligaments to completely mobilize the splenic flexure of the colon. This technique is essential for achieving adequate length and tension-free anastomoses during left colectomy, low anterior resection, and total colectomy procedures. The mobilization requires careful identification and preservation of the spleen while dividing vascular attachments and may involve takedown of the white line of Toldt along the descending colon. Complications can include splenic injury requiring splenectomy.
Usage
Usage note: Document extent of mobilization and any complications in operative notes.
In Context
- "Complete splenic flexure mobilization was required to achieve a tension-free colorectal anastomosis." — operative report
- "Splenic flexure mobilization was performed with careful preservation of the splenic capsule." — surgical technique note