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Perirectal fascial anatomy and pelvic autonomic nerve preservation during the transanal total mesorectal excision / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 593-598, 2021.
Article Dans Chinois | WPRIM | ID: wpr-942930
ABSTRACT
The difficulty of transanal total mesorectal excision (TME) is to find the correct dissection plane of perirectal space. As a complex new surgical procedure, the fascial anatomic landmarks of transanal approach operation are more likely to be ignored. It is often found that dissection plane is false after the secondary injury occurs during the operation, which results in the damage of pelvic autonomic nerves. Meanwhile, the mesorectum is easily damaged if the dissection plane is too close to the rectum. Thus, the safety of oncologic outcomes could be limited by difficulty achieving adequate TME quality. The promotion and development of the theory of perirectal fascial anatomy provides a new thought for researchers to design a precise approach for transanal endoscopic surgery. Transanal total mesorectal excision based on fascial anatomy offers a solution to identify the transanal anatomic landmarks precisely and achieves pelvic autonomic nerve preservation. In this paper, the authors focus on the surgical experience of transanal total mesorectal excision based on the theory of perirectal fascial anatomy, and discuss the feature of perirectal fascial anatomy dissection and technique of pelvic autonomic nerve preservation during transanal approach operation.
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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Tumeurs du rectum / Rectum / Voies nerveuses autonomes / Chirurgie endoscopique transanale / Proctectomie Limites du sujet: Humains langue: Chinois Texte intégral: Chinese Journal of Gastrointestinal Surgery Année: 2021 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Tumeurs du rectum / Rectum / Voies nerveuses autonomes / Chirurgie endoscopique transanale / Proctectomie Limites du sujet: Humains langue: Chinois Texte intégral: Chinese Journal of Gastrointestinal Surgery Année: 2021 Type: Article