Landmark vessel in membrane anatomy-based colorectal surgery.
10.3760/cma.j.cn441530-20230323-00091
- Author:
Chen Xiong ZHANG
1
;
Hao TAN
2
;
Jia Ming DING
2
;
Han XU
2
;
Feng SUN
3
Author Information
1. First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, China Department of Proctology, Yubei Hospital of Traditional Chinese Medicine, Chongqing Yubei District, Chongqing 401120, China.
2. First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, China.
3. Department of Colorectal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Mesentery/surgery*;
Colonic Neoplasms/surgery*;
Colorectal Surgery;
Digestive System Surgical Procedures;
Peritoneum/surgery*;
Rectal Neoplasms/surgery*;
Laparoscopy
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(7):650-655
- CountryChina
- Language:Chinese
-
Abstract:
The theory of membrane anatomy has been widely used in the field of colorectal surgery. The key point to perform high quality total mesorectal excision (TME) and complete mesocolic excision (CME) is to identify the correct anatomical plane. Intraoperative identification of the various fasciae and fascial spaces is the key to accessing the correct surgical plane and surgical success. The landmark vessels refer to the small vessels that originate from the original peritoneum on the surface of the abdominal viscera during embryonic development and are produced by the fusion of the fascial space. From the point of view of embryonic development, the abdominopelvic fascial structure is a continuous unit, and the landmark vessels on its surface do not change morphologically with the fusion of fasciae and have a specific pattern. Drawing on previous literature and clinical surgical observations, we believe that tiny vessels could be used to identify various fused fasciae and anatomical planes. This is a specific example of membrane anatomical surgery.
