| The anatomy of lateral ligament of the rectum and its role in total mesorectal excision. | |
| | |
MedLine Citation:
|
PMID: 20052469 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Lateral ligament of the rectum has suffered many diverse descriptions in its existence and composition. This study was undertaken to define the anatomy, nature, content of the lateral ligament of the rectum, and its role in total mesorectal excision. METHODS: Cadaver dissections were performed on 32 formalin-preserved cadavers. RESULTS: Bilateral lateral ligament appeared in all 32 cadavers as a bundle of dense connective tissue traversing between rectum and visceral fascia instead of pelvic sidewall. No substantial tissue strand except pelvic splanchnic nerves was found between visceral fascia and parietal fascia at the same level. The middle rectal artery was observed in only 18 of 64 pelvic-halves (28.1%). The constant component of the lateral ligament of the rectum was the rectal branches from the pelvic plexus, whereas the middle rectal artery was almost invisible in lateral ligament of the rectum. CONCLUSIONS: During total mesorectal excision, it is impossible to reveal the lateral ligament of the rectum in the correct plane between visceral and parietal fascia. The entire rectum may be mobilized without the need for ligating the middle rectal artery. The clinical significance of lateral ligament is that, during lateral dissection, if the dense lateral ligament was identified, then the surgical plane was medial to the visceral fascia and incorrect surgical plane thus entered. |
| | |
Authors:
|
Moubin Lin; Weiguo Chen; Liang Huang; Jindi Ni; Lu Yin |
Related Documents
:
|
17004009 - Acute concomitant pulmonary artery and aortic dissection with rupture. 15181509 - Spontaneous dissection of common iliac artery. a case report. 12223019 - Endovascular repair of a type b aortic dissection with transposition of a coexistent ab... 9369039 - Stent implantation for spontaneous coronary dissection. 8725379 - Rotational digital angiography of ulcer-like projection of pelvis. 2808979 - Assessment of transesophageal doppler echography in dissecting aortic aneurysm. 12486419 - In search of left septal fascicular block. 8216909 - Midline aneurysms of the vertebrobasilar junction: an effective anterior approach. 11892919 - Ym-337. yamanouchi. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: World journal of surgery Volume: 34 ISSN: 1432-2323 ISO Abbreviation: World J Surg Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-02-05 Completed Date: 2011-01-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7704052 Medline TA: World J Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 594-8 Citation Subset: IM |
Affiliation:
|
Department of Surgery, RuiJin Hospital, Shanghai JiaoTong University School of Medicine, 200025, Shanghai, China. MLin@mdanderson.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cadaver Female Humans Ligaments / anatomy & histology* Male Rectum / anatomy & histology*, surgery* |
| Comments/Corrections | |
Comment In:
|
World J Surg. 2011 Jan;35(1):227-8; author reply 229-30
[PMID:
20523992
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Treatment of perforated diverticulitis with generalized peritonitis: past, present, and future.
Next Document: Intraoperative determination of PTH concentrations in fine needle tissue aspirates to identify parat...