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Colon and rectum
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=== '''Splenic flexure''' === *** Where the transverse colon flexes downward *** Usually higher and deeper than the hepatic flexure *** Suspended by four mainly avascular ligaments: **** Phrenicocolic ligament to the diaphragm (this is continuous with gastrosplenic ligament, but more laterally) **** Splenocolic ligament to the lower pole of the spleen **** Renocolic ligament to Gerota fascia **** Pancreaticocolic ligament to the tail of the pancreas *** It can be released without dividing any major blood vessels if one is in the correct plane **** Commonly done by first dissecting along the white line of Toldt from below, then entering the lesser sac by lifting the omentum above the transverse colon, then taking down the splenic flexure with minimal traction **
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