![]() ![]() ![]() It is relatively rare and represent only 1–8% of all colon cancers 2, 3. Splenic flexure cancer (SFC) is defined as a colon cancer situated in the distal third of the transverse colon, or in the left colonic corner, or in the proximal descending colon within 10 cm from the flexure 1. It is our opinion that the extended surgery is seldomly indicated to cure splenic flexure cancer. According to our results, the partial resection of splenic flexure was not associated with a worse prognosis and it was leading for a satisfactory oncological outcome. RIGHT COLIC FLEXTURE FREEThere was no difference in overall and progression free survival among the three different surgical treatments. After a median follow-up of 42 months, 30 recurrences and 19 deaths occurred (12 for tumor progression). In all groups no differences were found in the total number of harvested lymphnodes. No significant differences in complications were found among the three groups. The tumor infiltrated near organs (T4) in 5 patients. Out of 103 selected cases an extended right hemicolectomy was performed in 22 (21.4%) patients, an extended left hemicolectomy in 24 (23.3%) patients, a segmental resection of the splenic flexure in 57 (55.3%) patients the combined resection of adjacent organs showing tumor adherence was carried out in 11 (10.7%) patients. We evaluated the clinicopathological findings and outcomes of all patients and associated them to the different surgical treatment. Between January 2006 and May 2016, 103 patients with splenic flexure colon cancer were enrolled in the study. Extended resection (including distal pancreasectomy and/or splenectomy), has been often indicated for the treatment for the splenic flexure cancer, because the lymphatic drainage at this site is poorly defined and assumed as heterogeneous. Extended right or left hemicolectomy are the most common surgical treatments for splenic flexure colon cancer. ![]()
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