Surgical management of splenic flexure colonic malignancy

doi:10.4240/wjgs.v17.i12.111582

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Dec 27, 2025 (publication date) through Dec 25, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Dec 27, 2025; 17(12): 111582
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111582

Surgical management of splenic flexure colonic malignancy

Sabrina Hui-Xian Cheok, Salman Ahmed Abdul Jabbar, Neng-Wei Wong, James Chi-Yong Ngu, Nan-Zun Teo

Sabrina Hui-Xian Cheok, Salman Ahmed Abdul Jabbar, Neng-Wei Wong, James Chi-Yong Ngu, Nan-Zun Teo, Department of General Surgery, Changi General Hospital, Singapore 529889, Singapore

Author contributions: Cheok SHX drafted the article; Jabbar SAA, Wong NW, Ngu JCY, and Teo NZ were involved in the concept and design of the article, critical revision, and final approval.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Nan-Zun Teo, Department of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore. teo.nan.zun@singhealth.com.sg

Received: July 3, 2025
Revised: August 6, 2025
Accepted: October 9, 2025
Published online: December 27, 2025
Processing time: 174 Days and 20 Hours

Core Tip

Core Tip: There are several studies in current literature discussing the optimal surgical approach for splenic flexure malignancies. However, these studies are mainly retrospective and performed in single centers. The variability in the vascular and lymphatic anatomy of the splenic flexure coupled with the lack of international standardization in the terminology for oncologic resections makes management challenging. This article reviews the various management strategies in the literature and examines the evidence supporting various surgical approaches to splenic flexure malignancies.