LAUSR

A tumor located in the distal third of the transverse colon, or in the left colonic angle, or in the proximal descending colon within 10 cm from the flexure may be defined as splenic flexure (SF) cancer .The oncological goal for all resectable colonic tumors is wide excision with associated lymphadenectomy. It is generally accepted that resection of tumors as the splenic flexure can be technically demanding. In 89% of cases , the blood supply of the SF is via the left colic artery which is a branch of the Inferior Mesenteric Artery (IMA) . Preserving sigmoid artery without conceding any oncologic outcome should be first purpose for better and safer anastamosis.