Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Controversial surgical anatomical landmarks in the deep pelvis can be visualized and identified using current technologies. Performingthe gate approach technique during deep lateral dissection for total mesorectal excision facilitates visualization of the pelvicneurovascular structures following simple dissection steps to preserve the pelvic autonomic nerves and avoid accidental vascularinjuries. Here, we discuss laparoscopic exposure of an infrequent disposition of the middle rectal artery anterior to the lateralligament of the rectum while performing the gate approach.
Abstract
Controversial surgical anatomical landmarks in the deep pelvis can be visualized and identified using current technologies. Performingthe gate approach technique during deep lateral dissection for total mesorectal excision facilitates visualization of the pelvicneurovascular structures following simple dissection steps to preserve the pelvic autonomic nerves and avoid accidental vascularinjuries. Here, we discuss laparoscopic exposure of an infrequent disposition of the middle rectal artery anterior to the lateralligament of the rectum while performing the gate approach.
참고문헌 (10)
- Kiyomatsu T, "Anatomy of the middle rectal artery : a review of the historical literature", Surg Today, 47, pp.14~19 (2017)
- Goligher JC, "Surgical treatment", Br Med J, 1, pp.653~655 (1971)
- Lin M, "The anatomy of lateral ligament of the rectum and its role in total mesorectal excision", World J Surg, 34, pp.594~598 (2010)
- Wang GJ, "Anatomy of the lateral ligaments of the rectum : a controversial point of view", World J Gastroenterol, 16, pp.5411~5415 (2010)
- Nano M, "Contribution to the surgical anatomy of the ligaments of the rectum", Dis Colon Rectum, 43, pp.1592~1597 (2000)
- Sato K, "The vascular and neuronal composition of the lateral ligament of the rectum and the rectosacral fascia", Surg Radiol Anat, 13, pp.17~22 (1991)
- Sauri F, "Gate approach at deep anterolateral pelvic dissection", Surg Oncol, 37, pp.101535~ (2021)
- Miles WE, "A method of performing abdomino-perineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon", Lancet, 172, pp.1812~1813 (1908)
- Heald RJ, "A new approach to rectal cancer", Br J Hosp Med, 22, pp.277~281 (1979)
- Jones OM, "Lateral ligaments of the rectum : an anatomical study", Br J Surg, 86, pp.487~489 (1999)