Inferior mesenteric vein preserving lymphadenectomy in high left segmental colectomy for splenic flexure melanoma: A case report.

ABSTRACT:

Introduction and importance

Surgical resection is the mainstay for management of splenic flexure cancers, with the aim of achieving adequate lymphadenectomy. Left-sided bowel resections often require ligation of the inferior mesenteric vein (IMV) for mesocolic dissection or lymphadenectomy which can result in congestive colitis on the anal side of the anastomosis secondary to poor venous outflow. Preserving the IMV may mitigate this risk but is technically difficult and can compromise oncological resection. This case report is a rare example of high left segmental resection of the splenic flexure with preservation of the IMV in a patient with splenic flexure melanoma.

Case presentation

A non-obstructing lesion was discovered in a 73-year-old male who underwent colonoscopy fo

SUBMITTER: Crowe A 

PROVIDER: S-EPMC10009196 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature