Complete splenic flexure mobilisation.

Cadaver based simulation applied to surgical approach.

Abstract

Introduction: Complete splenic flexure mobilization (SFM) is a complex technique with a steep learning curve.

Methods: An anatomic study of the SF and its different approaches was conducted on a cadaver-based simulated model. Surgical technique with laparoscopic medial approach is shown.

Results: 5 different approaches were identified: anterior trans-mental, anterior, lateral, medial infra-mesocolic and medial trans-mesocolic. Fixating ligaments, SF vascular anatomy and main anatomic relationships are described.

Discussion: Surgeons must know the anatomy, relationships and approaches to the SF. With cadaveric simulation we were able to reproduce a previously validated teaching and training model to achieve a complete SFM

Conclusions: Cadaver-based simulated model of complete SFM is a helpful tool applied to surgical practice.