الفهرس 
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Abstract
Colorectal cancer is the third leading cause of cancer death in both men and women. The use of splenic flexure mobilization (SFM) for colorectal cancer surgery remains controversial. Some surgeons have argued that SFM is not required for every anterior resection, because it may be technically demanding and may increase the operation time while providing no advantages with regard to short-term results. Others advocate as it ensures adequate oncological clearance , a tension-free colorectal anastomosis and requires only 15–20 min more operation time than not performing it.
Colon cancer may be diagnosed by obtaining a sample of the colon mass or polyp during colonoscopy. This is then followed by medical imaging to determine if the disease has spread. Screening is effective for preventing and decreasing deaths from colorectal cancer. Screening is recommended starting from the age of 50 to 75.
The primary treatment for colon cancer is surgery. The part of the large bowel with cancer is removed, along with surrounding lymph nodes. For cancer rectum, low anterior resection is perfered than APR if possible.
The aim of this study is to assess the role of splenic flexure mobilization in cases of low anterior resection for rectal carcinoma. . It ensures adequate oncological clearance and a tension-free colorectal anastomosis. Our study was done on 55 patient.55% have been undergone SFM (group A) while 45% with no SFM. (group B). group A is subdivided into open technique (20 cases 36.5%) and laparoscopic technique (10 cases 18%). group B is subdivided into open technique (15 cases 27.5%) and laparoscopic technique (10 cases 18%).
In our study, it takes 15–20 min more operative time than not performing it with almost no risk. There were only two patients who had an SFM-related complication, splenic injury.