The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery
Total mesorectal excision (TME) is the “golden standard” that must be followed in laparoscopic surgery for low rectal cancer. Adhering to the surgical concept of “membrane anatomy” is the foundation for achieving TME in low rectal cancer. Our team advocates the surgical separation of “whole-course m...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2024-04-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=135&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
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| author | Shi Yunjie Wang Hao |
| author_facet | Shi Yunjie Wang Hao |
| author_sort | Shi Yunjie |
| collection | DOAJ |
| description | Total mesorectal excision (TME) is the “golden standard” that must be followed in laparoscopic surgery for low rectal cancer. Adhering to the surgical concept of “membrane anatomy” is the foundation for achieving TME in low rectal cancer. Our team advocates the surgical separation of “whole-course membrane anatomy” for low rectal cancer, with the surgical dissection always maintained in the “holy plane” between the visceral and parietal fasciae of the organs, which ensures the standardization and radicality of the surgery. Following the principle of “whole-course membrane anatomy” surgical separation can reduce intraoperative and postoperative complications and ensure the effect of tumor radical resection. This article discusses hotspots and difficulties such as the dissection of 253 lymph node groups, freedom of the splenic flexure of the colon, membrane anatomy and nerve protection in the perirectal space, extreme sphincter-preserving surgery for very low rectal cancer, and other surgical related issues that require special attention during surgery in laparoscopic low rectal cancer surgery. |
| format | Article |
| id | doaj-art-3f8b786a8fa34d5dbcad8fe1191ad7c5 |
| institution | OA Journals |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2024-04-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-3f8b786a8fa34d5dbcad8fe1191ad7c52025-08-20T01:50:59ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-04-0130214214610.19668/j.cnki.issn1674-0491.2024.02.002The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgeryShi Yunjie0Wang Hao1Department of Anorectal Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, ChinaDepartment of Anorectal Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, ChinaTotal mesorectal excision (TME) is the “golden standard” that must be followed in laparoscopic surgery for low rectal cancer. Adhering to the surgical concept of “membrane anatomy” is the foundation for achieving TME in low rectal cancer. Our team advocates the surgical separation of “whole-course membrane anatomy” for low rectal cancer, with the surgical dissection always maintained in the “holy plane” between the visceral and parietal fasciae of the organs, which ensures the standardization and radicality of the surgery. Following the principle of “whole-course membrane anatomy” surgical separation can reduce intraoperative and postoperative complications and ensure the effect of tumor radical resection. This article discusses hotspots and difficulties such as the dissection of 253 lymph node groups, freedom of the splenic flexure of the colon, membrane anatomy and nerve protection in the perirectal space, extreme sphincter-preserving surgery for very low rectal cancer, and other surgical related issues that require special attention during surgery in laparoscopic low rectal cancer surgery.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=135&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9Frectal cancertotal mesorectal excisionmembrane anatomy |
| spellingShingle | Shi Yunjie Wang Hao The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery 结直肠肛门外科 rectal cancer total mesorectal excision membrane anatomy |
| title | The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery |
| title_full | The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery |
| title_fullStr | The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery |
| title_full_unstemmed | The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery |
| title_short | The oretical basis and operative difficulties of whole-course membrane anatomy in laparoscopic low rectal cancer surgery |
| title_sort | oretical basis and operative difficulties of whole course membrane anatomy in laparoscopic low rectal cancer surgery |
| topic | rectal cancer total mesorectal excision membrane anatomy |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=135&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
| work_keys_str_mv | AT shiyunjie theoreticalbasisandoperativedifficultiesofwholecoursemembraneanatomyinlaparoscopiclowrectalcancersurgery AT wanghao theoreticalbasisandoperativedifficultiesofwholecoursemembraneanatomyinlaparoscopiclowrectalcancersurgery AT shiyunjie oreticalbasisandoperativedifficultiesofwholecoursemembraneanatomyinlaparoscopiclowrectalcancersurgery AT wanghao oreticalbasisandoperativedifficultiesofwholecoursemembraneanatomyinlaparoscopiclowrectalcancersurgery |