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From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer

The total mesorectal excision (TME) approach has been established as the gold standard for the surgical treatment of middle and lower rectal cancer. This approach is widely accepted to minimize the risk of local recurrence and increase the long-term survival rate of patients undergoing surgery. Howe...

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Autores principales: Chen, Zhou, Zhang, Xiao-Jing, Chang, Hao-Dong, Chen, Xiao-Qian, Liu, Shan-Shan, Wang, Wei, Chen, Zhi-Heng, Ma, Yu-Bin, Wang, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642479/
https://www.ncbi.nlm.nih.gov/pubmed/37969712
http://dx.doi.org/10.4240/wjgs.v15.i10.2108
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author Chen, Zhou
Zhang, Xiao-Jing
Chang, Hao-Dong
Chen, Xiao-Qian
Liu, Shan-Shan
Wang, Wei
Chen, Zhi-Heng
Ma, Yu-Bin
Wang, Liang
author_facet Chen, Zhou
Zhang, Xiao-Jing
Chang, Hao-Dong
Chen, Xiao-Qian
Liu, Shan-Shan
Wang, Wei
Chen, Zhi-Heng
Ma, Yu-Bin
Wang, Liang
author_sort Chen, Zhou
collection PubMed
description The total mesorectal excision (TME) approach has been established as the gold standard for the surgical treatment of middle and lower rectal cancer. This approach is widely accepted to minimize the risk of local recurrence and increase the long-term survival rate of patients undergoing surgery. However, standardized TME causes urogenital dysfunction in more than half of patients, thus lowering the quality of life of patients. Of note, pelvic autonomic nerve damage during TME is the most pivotal cause of postoperative urogenital dysfunction. The anatomy of the Denonvilliers’ fascia (DVF) and its application in surgery have been investigated both nationally and internationally. Nevertheless, controversy exists regarding the basic to clinical anatomy of DVF and its application in surgery. Currently, it is a hotspot of concern and research to improve the postoperative quality of life of patients with rectal cancer through the protection of their urinary and reproductive functions after radical resection. Herein, this study systematically describes the anatomy of DVF and its application in surgery, thus providing a reference for the selection of surgical treatment modalities and the enhancement of postoperative quality of life in patients with middle and low rectal cancer.
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spelling pubmed-106424792023-11-15 From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer Chen, Zhou Zhang, Xiao-Jing Chang, Hao-Dong Chen, Xiao-Qian Liu, Shan-Shan Wang, Wei Chen, Zhi-Heng Ma, Yu-Bin Wang, Liang World J Gastrointest Surg Minireviews The total mesorectal excision (TME) approach has been established as the gold standard for the surgical treatment of middle and lower rectal cancer. This approach is widely accepted to minimize the risk of local recurrence and increase the long-term survival rate of patients undergoing surgery. However, standardized TME causes urogenital dysfunction in more than half of patients, thus lowering the quality of life of patients. Of note, pelvic autonomic nerve damage during TME is the most pivotal cause of postoperative urogenital dysfunction. The anatomy of the Denonvilliers’ fascia (DVF) and its application in surgery have been investigated both nationally and internationally. Nevertheless, controversy exists regarding the basic to clinical anatomy of DVF and its application in surgery. Currently, it is a hotspot of concern and research to improve the postoperative quality of life of patients with rectal cancer through the protection of their urinary and reproductive functions after radical resection. Herein, this study systematically describes the anatomy of DVF and its application in surgery, thus providing a reference for the selection of surgical treatment modalities and the enhancement of postoperative quality of life in patients with middle and low rectal cancer. Baishideng Publishing Group Inc 2023-10-27 2023-10-27 /pmc/articles/PMC10642479/ /pubmed/37969712 http://dx.doi.org/10.4240/wjgs.v15.i10.2108 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Minireviews
Chen, Zhou
Zhang, Xiao-Jing
Chang, Hao-Dong
Chen, Xiao-Qian
Liu, Shan-Shan
Wang, Wei
Chen, Zhi-Heng
Ma, Yu-Bin
Wang, Liang
From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
title From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
title_full From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
title_fullStr From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
title_full_unstemmed From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
title_short From basic to clinical: Anatomy of Denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
title_sort from basic to clinical: anatomy of denonvilliers’ fascia and its application in laparoscopic radical resection of rectal cancer
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642479/
https://www.ncbi.nlm.nih.gov/pubmed/37969712
http://dx.doi.org/10.4240/wjgs.v15.i10.2108
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