A new insights of mesorectum.
10.3760/cma.j.cn441530-20220228-00068
- VernacularTitle:对直肠系膜的再认识
- Author:
Juan WANG
1
;
Qing Kun GAO
2
;
Yun Fan WANG
3
;
Wei Guang ZHANG
4
;
Jin GU
5
Author Information
1. Department of Radiology, Peking University Shougang Hospital, Beijing 100144, China Center for Precision Diagnosis and Treatment of Colorectal Cancer and Inflammatory Diseases, Peking University Health Science Center, Beijing 100191, China Colorectal Cancer Centre of Peking University Shougang Hospital, Beijing 100144, China.
2. Center for Precision Diagnosis and Treatment of Colorectal Cancer and Inflammatory Diseases, Peking University Health Science Center, Beijing 100191, China Colorectal Cancer Centre of Peking University Shougang Hospital, Beijing 100144, China Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China.
3. Center for Precision Diagnosis and Treatment of Colorectal Cancer and Inflammatory Diseases, Peking University Health Science Center, Beijing 100191, China Colorectal Cancer Centre of Peking University Shougang Hospital, Beijing 100144, China Department of Pathology, Peking University Shougang Hospital, Beijing 100144, China.
4. Department of Human Anatomy & Histology and Embryology, Peking University Health Science Centre of Basic Medical Sciences, Beijing 100191, China.
5. Center for Precision Diagnosis and Treatment of Colorectal Cancer and Inflammatory Diseases, Peking University Health Science Center, Beijing 100191, China Colorectal Cancer Centre of Peking University Shougang Hospital, Beijing 100144, China Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing 100142, China Peking-Tsinghua Center for Life Science, Beijing 100142, China.
- Publication Type:Review
- Keywords:
Magnetic resonance imaging;
Mesorectum;
Pathology;
Total mesorectal excision
- MeSH:
Humans;
Laparoscopy/methods*;
Mesocolon/surgery*;
Quality of Life;
Rectal Neoplasms/surgery*;
Rectum/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(4):321-326
- CountryChina
- Language:Chinese
-
Abstract:
Total mesorectal excision (TME) represents the gold standard for radical resection in rectal cancer. The development in radiology and laparoscopic surgical equipment and the advancement in technology have led to a deepened understanding of the mesorectum and its surrounding structures. Both the accuracy of preoperative staging and the preciseness of the planes of TME surgical dissection have been enhanced. The postoperative local recurrence rate is reduced and the long-term survival of rectal cancer patients is improved. The preservation of the pelvic autonomic nervous system maintains the patient's urinary and sexual functions to the greatest extent possible, which in turn improves the patient's postoperative quality of life. A thorough understanding of the anatomy of the mesorectum and its surrounding structures is a prerequisite for successful TME. Herein, we review the basic concepts and the anatomy of the mesorectum in the current literature. Some important clinical issues are also discussed systematically in terms of imaging, surgery, and pathology.
