Modified Rosi–Cahill technique after left extended colectomy for splenic flexure advanced tumors

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Splenic flexure colon cancer is rare, comprising 2–5% of colon cancers, and often leads to obstruction and peritoneal carcinomatosis.
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Surgeons frequently perform total colectomies for splenic flexure tumors, risking ileocecal valve loss and long-term bowel function deterioration.
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Complete mesocolic excision (CME) improves lymph node removal and long-term outcomes compared to non-CME surgeries for colon cancer.
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The modified Rosi–Cahill technique preserves the right colon and avoids mesenteric vessel rotation, reducing complications compared to Deloyers’ technique.
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Rosi and Cahill's technique allows for cecorectal anastomosis with complete mobilization of the right colon, enhancing surgical outcomes.

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