![]() ![]() We can use the SSFS system to develop a validated scoring system to help colorectal surgeons assess the difficulty of SFM.Ĭolorectal surgery Computed tomography Splenic flexure Vertebral level. CONCLUSIONS The SSFS system is an accurate method to site the splenic flexure anatomically using CT. Duodenal flexure 314272000 Jejunal part 372191008 Structure of ascending portion of duodenum 63803008 children. colon X-ray ascending, CT ascending, X-ray caecum, CT caecum, X-ray descending, CT descending, MR descending, X-ray flexure, CT flexure, hepatic, CT flexure. Overall, there was strong correlation between assessments by all three SRs across the three variables measured. RESULTS VL assessment demonstrated substantial inter-observer agreement with a kappa (κ) value of 0.742 (95% confidence interval (CI), 0.463-0.890). ![]() at the intermediate transitional zone or adjacent to the splenic flexure. The distance from the centre of the vertebral body to the lateral edge (CVBL) of the splenic flexure was measured, as was the distance from the centre of the vertebral body to the inner abdominal wall (CVBI) along the same line, on axial images. Colonic pseudoobstruction can be diagnosed on the basis of CT findings that. We asked three surgical registrars (SRs) to analyse 20 CT scans of patients undergoing colonic resection to ascertain the anatomical site of the splenic flexure using the SSFS system. METHODS The Shrewsbury Splenic Flexure Siting (SSFS) system involves siting of the splenic flexure using the vertebral level (VL) as a reference point. We investigated a system of anatomical siting of the splenic flexure using computed tomography (CT). A 77-year-old man with known hepatocellular carcinoma (HCC) underwent a computed tomography (CT) scan of the thorax and magnetic resonance imaging (MRI) of the. This step is difficult and not without risk. INTRODUCTION Often, left-sided colorectal surgery requires splenic flexure mobilisation (SFM) to allow a tension-free anastomosis to be carried out. ![]()
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