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Ann R Coll Surg Engl. 2009 May; 91(4): 360.
PMCID: PMC2749436

Authors' Response

We are re-assured by Meshikhes' supportive response defining experience gained with selective splenic flexure mobilisation in King Fahad Specialist Hospital. The principle has been applied successfully in the laparoscopic arena. We are encouraged that there have been no conversions or anastomotic leaks with no requirement for flexure mobilisation.

In our experience, splenic flexure mobilisation will usually be required to ensure adequate length during total mesorectal excision (TME); however, Meshikhes' experience adds to the expanding literature indicating that most other rectal and sigmoid resections will not require such extensive dissection. This has important implications with the increasing adoption of laparoscopic techniques in the management of colorectal disease.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England