Scientific interpretation of membrane anatomy theory and standardized application of membrane anatomy terms
10.3760/cma.j.cn.441530-20200331-00177
- VernacularTitle:科学解读膜解剖理论 规范应用膜解剖名词
- Author:
Hailong LIU
1
;
Yi CHANG
;
Moubin LIN
Author Information
1. 同济大学附属杨浦医院普通外科 同济大学医学院胃肠外科和转化医学研究所，上海 200090
- Keywords:
Anatomy;
Terminology;
Mesentery;
Fascia;
Pelvis
- From:
Chinese Journal of Gastrointestinal Surgery
2020;23(7):634-642
- CountryChina
- Language:Chinese
-
Abstract:
There has been an upsurge of the theory of membrane anatomy in China, but it is still in the initial stage of establishing preliminary framework. The concept of fasciae in membrane anatomy actually refers to the fasciae constituting the particular plane or the 'holy plane’. Therefore, the membrane anatomy can't simply be defined as the anatomical relationship among fascia. The application of the membrane anatomy is also not just to pursue the avascular plane in the surgical field. Nowadays, nonstandard anatomical terms and diversification of views impede the development of the theory of the membrane anatomy. Fasciae occur in embryonic stage, undergo a series of changes in rotation and fusion, and lose the original features, which bring difficulties in understanding the anatomy of fasciae. In this paper, we restore the origin and continuity of fasciae related to the colorectal surgery by cadaveric study, surgical observation and literature review. Taking the TME for example, we also discuss the core content about the fasciae and plane related to 'mesenteric envelope’ and complete mesorectal excision. From the perspective of the fasciae integrity, we illustrate the definitions of important anatomical structure and standardized the terminology of fasciae. To study the origin and architecture of fasciae in the view of embryology, integrity and continuity will contribute to establish the standard theoretical system of membrane anatomy.
