Document Detail

Vascular anatomy of the rectal stump after total mesorectal excision.
MedLine Citation:
PMID:  17096177     Owner:  NLM     Status:  MEDLINE    
PURPOSE: For many years, poor vascularization of the short rectal stump has been considered the main cause of leakage. The purpose of this study was to evaluate the vascularization of the rectal stump after total mesorectal excision. METHODS: We studied the iliac vascularization on 28 volunteers with healthy rectum to have an anatomic basis. Then, we studied the vascularization of the rectal stumps after total mesorectal excision by using angio computed tomography at seven and three months after operating on 22 patients; we validated this technique by studying the vascularization using angio computed tomography in 18 rectal specimens from cadavers. RESULTS: Both in healthy rectums and in rectal stumps after total mesorectal excision, there is good vascularization sustained by middle and inferior rectal arteries. The former is more important and frequent as described in previous literature. CONCLUSIONS: The vascularization of the short rectal stump is generally well represented even after total mesorectal excision.
Mario Nano; Filippo Marchisio; Marco Ferronato; Andrea Doriguzzi Breatta; Mario Solej; Stefano Barbero; Marcello Dei Poli; Giovanni Gandini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  49     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-30     Completed Date:  2007-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1897-904     Citation Subset:  IM    
Department of Clinical Pathophysiology, III Section of General Surgery, University of Turin, Via Genova 3, Turin, 10126, Italy.
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MeSH Terms
Aged, 80 and over
Digestive System Surgical Procedures*
Middle Aged
Rectal Neoplasms / surgery*
Rectum / blood supply*,  radiography
Tomography, X-Ray Computed

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