Objective:

To demonstrate the efficacy of using Artisential® during the splenic flexure mobilization phase in laparoscopic low anterior resection by quantifying changes in two-dimensional screen usage and comparing specific perioperative outcomes such as operation time, length of hospital stay, and complication rates.

Key Findings:

• Screen utilization improved from 86.4% to 98.2% after using Artisential®, indicating enhanced visualization.
• No significant differences in operation time (202.22 vs 208 min), length of hospital stay (7.67 vs 8.75 days), complication severity (median grade 1), or number of harvested lymph nodes (21 vs 23) between groups.

Interpretation:

The use of Artisential® significantly improved visualization during splenic flexure mobilization without compromising operative outcomes, supporting its safety and efficacy.

Limitations:

• The study was conducted by a single surgeon, which may limit generalizability and introduce bias.
• Small sample size for the Artisential® group (9 cases) may affect statistical power and the reliability of the findings.

Conclusion:

Angulated traction using Artisential® enhances space utilization during splenic flexure mobilization in laparoscopic low anterior resections, with no adverse effects on operative outcomes, suggesting its potential for improving surgical efficiency.