Anatomical controversies involved in radical resection of rectal cancer.
10.3760/cma.j.cn.441530-20210519-00213
- Author:
Xu Hua HU
1
;
Cui Li CAO
2
;
Jian Feng ZHANG
1
;
Wen Bo NIU
1
;
Chao Xi ZHOU
1
;
Guang Lin WANG
1
;
You Qiang LIU
1
;
Bao Kun LI
1
;
Xiao Ran WANG
1
;
Bin YU
1
;
Gui Ying WANG
3
Author Information
1. The Second Department of General Surgery, The Fourth Hospital, Hebei Medical University, Shijiazhuang 050001, China.
2. Department of Human Anatomy, Basic Medical College, Hebei Medical University, Shijiazhuang 050017, China.
3. The Second Department of General Surgery, The Fourth Hospital, Hebei Medical University, Shijiazhuang 050001, China Department of Gastrointestinal Surgery, The Third Hospital, Hebei Medical University, Shijiazhuang 050051, China.
- Publication Type:Journal Article
- Keywords:
Anatomy;
Left colonic artery;
Middle rectal artery;
Radical resection;
Rectal neoplasms
- MeSH:
Humans;
Laparoscopy;
Lymph Node Excision;
Lymph Nodes;
Mesenteric Artery, Inferior;
Rectal Neoplasms/surgery*;
Rectum
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(7):633-637
- CountryChina
- Language:Chinese
-
Abstract:
The concept of total mesorectal resection provides a quality control standard that can be followed for radical resection of rectal cancer, but some anatomical problems are still controversial. Compared with traditional open surgery, laparoscopic radical rectal surgery has better surgical vision, better neurological protection, better operating space. However, if the surgeon has insufficient understanding of the anatomy, collateral damage may occur, such as uncontrollable bleeding during the operation, postoperative urination and defecation dysfunction and so on. Based on the interpretation of the researches at home and abroad, combined with the clinical experience, we elucidate some associated issues, including anatomic variation of inferior mesenteric vessels, the controversy of inferior mesenteric artery ligation plane, the controversy of lymph node dissection in No. 253, the anatomical variation of middle rectal artery, and the anatomical controversy of lateral lymph node dissection in rectal cancer, in order to provide better cognitive process for the clinical front-line surgeons.
