Get Laparoscopic Colorectal Cancer Surgery: Operative Procedures PDF
By Makio Mike
ISBN-10: 9811023190
ISBN-13: 9789811023194
ISBN-10: 9811023204
ISBN-13: 9789811023200
This special consultant describes colorectal surgical procedure approaches utilizing clinical terminology and anatomical phrases originating from embryology.
within the final decade, laparoscopic approaches in gastrointestinal surgical procedure were more suitable and their safeguard has considerably stronger. With the variety of instances of colorectal melanoma surgical procedure expanding and laparoscopic surgical procedure not thought of a really good surgical procedure, the popularity of the proper anatomy is essential in those methods. regrettably, even though, the knowledge of scientific anatomy is often become independent from that of uncomplicated surgical options. at the start, the dissecting layer may be presumed to derive from the fascial anatomy in keeping with embryological popularity. moreover, the thoughts at present getting used through surgeons could be defined in enough aspect and the fitting anatomical phrases must always be used. In view of this, this necessary monograph merits gastrointestinal surgeons and basic surgeons who're eager about the therapy of colorectal cancer.
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Extra info for Laparoscopic Colorectal Cancer Surgery: Operative Procedures Based on the Embryological Anatomy of the Fascial Composition
Example text
The sigmoid fossa is the site where the fusion fascia of Toldt is not formed. The oblique root of sigmoid colon is the boundary between the left (dorsal) leaf of the sigmoid mesocolon and the parietal retroperitoneum of the sigmoid fossa. The cutting line can be recognised as a white line (Fig. 24). The boundary of the oblique root is cut near the mesocolon. While the assistant pulls the peritoneum of the sigmoid fossa from the lateral-ventral side, the surgeon cuts from the oblique root to the vertical root between the sigmoid mesocolon and retroperitoneum to reach the lateral border of the rectum.
1 Dissection in the Lesser Pelvis (Especially in the Retrorectal Space) Scope: umbilicus. The operator’s right hand: an electrosurgical knife with spatula-type blade. The operator’s left hand: performs traction of the fascia propria of the rectum to the ventral-caudal side. The assistant’s right hand: assists in the fine manoeuvres of the operator. Assistant’s left hand: adequately raises the fascia propria of the rectum to the ventral side. The bilateral parietal peritoneum along the rectum is excised towards the rectovesical fossa.
Continuing the dissection of the deep subperitoneal fascia caudally, the sigmoid fossa comes into view. How to deal with these two fasciae: two routes can be considered (Fig. 6b). In the medial approach, the dissection is performed towards the a Right root of the IMA cranially while confirming the left neurovascular corridor. In the cranial side of the superior hypogastric plexus, the deep subperitoneal fascia is easily dissected from the left fusion fascia of Toldt (Fig. 6a). The vascular pedicle of the IMA is grasped with the assistant’s left forceps and is lifted to the ventral-caudal side to form a 30° angle with the aorta with the laparoscope inserted in the umbilical port (Fig.
Laparoscopic Colorectal Cancer Surgery: Operative Procedures Based on the Embryological Anatomy of the Fascial Composition by Makio Mike
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