![]() SSI rates were significantly increased in patients undergoing SFM. CONCLUSION: This systematic review found that SFM was not associated with significantly decreased anastomotic leak rates. A subgroup analysis of rectal cancer cases found significantly higher anastomotic leak rates with SFM. SFM patients had a longer operating time and increased incisional SSI rates compared to their non-SFM counterparts. The entire operation can be performed without repositioning the robotic console. The operation is performed using four robotic trocar sites, as well as camera and assistant ports. There was no significant difference in anastomotic leak rates when SFM patients were compared to their non-SFM counterparts. The robotic approach is ideally suited for patients with low or middle rectum pathology, and the only absolute contraindication is inability to tolerate pneumoperitoneum. Shown here is a 'simplified' method of taking down the splenic flexure during laparoscopic total mesorectal excision. The overall bias risk was found to be high. There was no difference between the groups in terms of mortality, bleeding, infection and general complications. ![]() RESULTS: Six of 74 potentially eligible studies totaling 12,398 patients (4,356 with SFM and 8,042 without SFM) were selected for further examination. Results: our meta-analysis showed that patients undergoing complete mobilization of the splenic flexure had a higher risk of anastomotic dehiscence (RR2.27, 95CI: 1.22-4.23) compared with those not submitted to this procedure. The odds ratio (OR) was used for dichotomous variables, whereas the mean difference (MD) was used for continuous variables. The Mantel-Haenszel method with a random-effects model was used. All neoplasms are classified in this chapter, whether. This is the American ICD-10-CM version of C18.5 - other international versions of ICD-10 C18.5 may differ. The 2022 edition of ICD-10-CM C18.5 became effective on October 1, 2021. Inclusion criteria were clinical studies comparing SFM to non-SFM during sigmoid and rectal resections. C18.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Anastomotic leak was the primary endpoint. METHODS: PubMed, MEDLINE, EMBASE, Cochrane Library, and Scopus databases were searched by two independent researchers. The aim of this study was to evaluate the impact of SFM on anastomotic leak and surgical site infection rates in sigmoid and rectal resections. OBJECTIVE: There is no consensus regarding whether splenic flexure mobilization (SFM) should be performed selectively or routinely for sigmoid and rectal resections.
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