Clinical significance of intersphincteric resection related anatomy effect on surgical safety.
10.3760/cma.j.cn441530-20230308-00069
- VernacularTitle:经括约肌间切除术相关解剖学对手术安全实施的临床意义
- Author:
Jin Chun CONG
1
;
Hong ZHANG
1
;
Chun Sheng CHEN
1
Author Information
1. Ward of Colorectal Tumor, Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Anal Canal/surgery*;
Rectal Neoplasms/surgery*;
Clinical Relevance;
Anastomosis, Surgical
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(6):562-566
- CountryChina
- Language:Chinese
-
Abstract:
The anatomical studies of intersphincteric resection (ISR) have made remarkable progress in recent years. The anatomy of internal, external sphincter and hiatal ligament has been further understood. In this paper, the generation and functional mechanism of ISR related anatomy are described from the embryonic development process, and then the influence of hiatal ligament and internal sphincter on ISR surgery is analyzed respectively according to the anatomical characteristics. Finally, the correlation analysis of anatomical factors on the common problems of mucosal bleeding and instrument anastomosis in ISR is carried out. The objective of this paper is to improve the safety of ISR surgery by providing detailed anatomical explanations.
