Understand total mesorectal excision from the anatomic morphology of the mesorectum

LIN Mou-bin,YIN Lu,CHEN Wei-guo,et al.

Chinese Journal of Practical Surgery ›› 2008, Vol. 28 ›› Issue (08) : 629-632.

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PDF(594 KB)
Chinese Journal of Practical Surgery ›› 2008, Vol. 28 ›› Issue (08) : 629-632.
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Understand total mesorectal excision from the anatomic morphology of the mesorectum

  • LIN Mou-bin,YIN Lu,CHEN Wei-guo,et al.
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Abstract

Objective:To clarify the basis of total mesorectal excision by studying the morphology of the mesorectum. Methods:Twenty-four pelvises (12 male,12 female) harvested from embalmed cadavers were studied by dissectiodn. Results:There were two different fascial envelopes around the perirectal fat:a posterolateral envelope made up of the visceral pelvic fascia and an anterior membrane made up of the Denonovilliers fascia.Denonvilliers’ fascia couldn’t be regarded as anterior part of mesorectum. Conclusion:The improved prognosis achieved by total mesorectal excision lies in the excision of rectal compartment en bloc.

Key words

total mesorectal excision / denonvilliers' fascia / autonomic nerve

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LIN Mou-bin,YIN Lu,CHEN Wei-guo,et al.. Understand total mesorectal excision from the anatomic morphology of the mesorectum[J]. Chinese Journal of Practical Surgery. 2008, 28(08): 629-632
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