Staged Surgical Management of a Colosplenic Fistula Caused by Locally Advanced Splenic‐Flexure Adenocarcinoma

Key Points

• The aim is to assess the effectiveness of a staged surgical strategy for treating colosplenic fistulas caused by locally advanced adenocarcinoma.
• Conducted a staged surgical approach starting with laparoscopic source control and diversion.
• Followed by definitive multivisceral resection to address the underlying cancer and manage sepsis.
• The staged strategy effectively managed sepsis while maintaining oncological therapy compliance.
• Initial laparoscopic intervention showed a significant reduction in complications related to sepsis.