Cargando…

Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision

Controversial surgical anatomical landmarks in the deep pelvis can be visualized and identified using current technologies. Performing the gate approach technique during deep lateral dissection for total mesorectal excision facilitates visualization of the pelvic neurovascular structures following s...

Descripción completa

Detalles Bibliográficos
Autores principales: Varela, Cristopher, Nassr, Manar, Kim, Nam Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9086696/
https://www.ncbi.nlm.nih.gov/pubmed/35512752
http://dx.doi.org/10.3349/ymj.2022.63.5.490
_version_ 1784704062840635392
author Varela, Cristopher
Nassr, Manar
Kim, Nam Kyu
author_facet Varela, Cristopher
Nassr, Manar
Kim, Nam Kyu
author_sort Varela, Cristopher
collection PubMed
description Controversial surgical anatomical landmarks in the deep pelvis can be visualized and identified using current technologies. Performing the gate approach technique during deep lateral dissection for total mesorectal excision facilitates visualization of the pelvic neurovascular structures following simple dissection steps to preserve the pelvic autonomic nerves and avoid accidental vascular injuries. Here, we discuss laparoscopic exposure of an infrequent disposition of the middle rectal artery anterior to the lateral ligament of the rectum while performing the gate approach.
format Online
Article
Text
id pubmed-9086696
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Yonsei University College of Medicine
record_format MEDLINE/PubMed
spelling pubmed-90866962022-05-18 Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision Varela, Cristopher Nassr, Manar Kim, Nam Kyu Yonsei Med J Technical Report Controversial surgical anatomical landmarks in the deep pelvis can be visualized and identified using current technologies. Performing the gate approach technique during deep lateral dissection for total mesorectal excision facilitates visualization of the pelvic neurovascular structures following simple dissection steps to preserve the pelvic autonomic nerves and avoid accidental vascular injuries. Here, we discuss laparoscopic exposure of an infrequent disposition of the middle rectal artery anterior to the lateral ligament of the rectum while performing the gate approach. Yonsei University College of Medicine 2022-05 2022-04-20 /pmc/articles/PMC9086696/ /pubmed/35512752 http://dx.doi.org/10.3349/ymj.2022.63.5.490 Text en © Copyright: Yonsei University College of Medicine 2022 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Report
Varela, Cristopher
Nassr, Manar
Kim, Nam Kyu
Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
title Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
title_full Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
title_fullStr Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
title_full_unstemmed Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
title_short Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision
title_sort exposure of the middle rectal artery and lateral ligament of the rectum following the gate approach during total mesorectal excision
topic Technical Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9086696/
https://www.ncbi.nlm.nih.gov/pubmed/35512752
http://dx.doi.org/10.3349/ymj.2022.63.5.490
work_keys_str_mv AT varelacristopher exposureofthemiddlerectalarteryandlateralligamentoftherectumfollowingthegateapproachduringtotalmesorectalexcision
AT nassrmanar exposureofthemiddlerectalarteryandlateralligamentoftherectumfollowingthegateapproachduringtotalmesorectalexcision
AT kimnamkyu exposureofthemiddlerectalarteryandlateralligamentoftherectumfollowingthegateapproachduringtotalmesorectalexcision