Abstract
Current trends and controversies in the management of patients with splenic flexure tumours
Highlights
Colorectal cancer (CRC) is the third most common cancer in the United Kingdom after breast and lung [1, 2]
Various extent of resections has been advocated for the management of these tumours including an extended right hemicolectomy [8], segmental resection and left hemicolectomy [9, 10]
An extended right hemicolectomy is the preferred option by 70 respondents (63%) followed by left hemicolectomy (26, 23%) and segmental resection (15, 14%)
Summary
Colorectal cancer (CRC) is the third most common cancer in the United Kingdom after breast and lung [1, 2]. Tumours around the splenic flexure account for between 2–8% of CRC and are associated with a higher risk of obstruction [3, 4] compared to tumours at other sites. Reports of a poorer prognosis of patients with these tumours have been equivocal [4,5,6]. The surgical management of CRC has traditionally been excision in continuity with its vascular supply along with its lymphatic drainage to reduce the chance of local recurrence [7]. The blood supply to the splenic flexure has been shown to be somewhat variable. Various extent of resections has been advocated for the management of these tumours including an extended right hemicolectomy [8], segmental resection and left hemicolectomy [9, 10]
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