This is a 62 year old male with a biopsy proven adenocarcinoma at the splenic flexure found on routine screening colonoscopy. The lesion was tattooed.

The video will show a medial to lateral en bloc resection with a stapled/hand-sewn anastomosis between the mid-transverse and descending colon. Extraction site was Pfannenstiel.

Pathology was T2, N0, MO.

This video highlights the techniques of laparoscopic left hemicolectomy with intracorporeal anastomosis for carcinoma of the splenic flexure.