Transanal Endoscopic Proctectomy and Nerve Injury Risk: Bottom to Top Surgical Anatomy, Key Points

被引:16
作者
Bertrand, M. M. [1 ]
Colombo, P. E. [1 ]
Alsaid, B. [2 ]
Prudhomme, M. [3 ]
Rouanet, P. [1 ]
机构
[1] ICM Val DAurelle, Dept Surg Oncol, F-34298 Montpellier 5, France
[2] Univ Damascus, Lab Anat Fac Med, Damascus, Syria
[3] Univ Montpellier I, Dept Digest Surg, CHU Nimes, Nimes, France
关键词
Total mesorectal excision; Anatomy; Hypogastric plexus; Denonvilliers fascia; Transanal minimally invasive surgery; Transanal; TOTAL MESORECTAL EXCISION; DENONVILLIERS FASCIA; RECTOSACRAL FASCIA; DISSECTION; PLANE;
D O I
10.1097/DCR.0000000000000187
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The transanal approach for rectal resection is a promising approach, because it increases the circumferential radial margin, especially for difficult cases. Meanwhile, functional sequelae are frequent after rectal cancer surgery and are often due to neurological lesions. There is little literature describing surgical anatomy from bottom to top. We combined our surgical experience with our fetal and adult anatomical research to provide a bottom-up surgical description focusing on neurological anatomy (see Video, Supplemental Digital Content 1, http://links.lww.com/DCR/A148).
引用
收藏
页码:1145 / 1148
页数:4
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