Use of thoracoabdominal incision for cancer of the splenic flexure in the obese patient

S. Walfisch, H. Stern

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The thoracoabdominal incision is not a common incision in colonic surgery. However, it may be of unique benefit in tumors of the splenic flexure in which adequate mobilization and adequate lateral resection margins may otherwise be difficult to achieve. These tumors are believed to carry a poorer prognosis in part because of reduced accessibility. Specifically, exposure in short, obese patients with locally advanced lesions may be improved significantly with a thoracoabdominal incision. This report presents a patient with a tumor of the splenic flexure invading the diaphragm, greater curvature of the stomach, splenic hilum, and tail of the pancreas. The exposure provided by this incision made a radical cancer operation possible, which would not have been possible with an abdominal incision.

Original languageEnglish
Pages (from-to)169-170
Number of pages2
JournalDiseases of the Colon and Rectum
Volume32
Issue number2
DOIs
StatePublished - 1 Feb 1989
Externally publishedYes

Keywords

  • Colon cancer
  • Splenic flexure
  • Surgical technique
  • Thoracoabdominal incision

ASJC Scopus subject areas

  • Gastroenterology

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