The Mesentery in Robot-Assisted Total Mesorectal Excision.
| Autor: | Crolla RMPH; Department of Surgery, Laparoscopic and Robotic Gastrointestinal/Oncological Surgeon, Amphia Hospital, Breda, The Netherlands., Coffey JC; Department of Surgery, University Hospitals Group Limerick, Limerick, Ireland., Consten EJC; Department of Surgery, Laparoscopic and Robotic Gastrointestinal/Oncological Surgeon, Academic Medical Center Groningen, Groningen, The Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | Clinics in colon and rectal surgery [Clin Colon Rectal Surg] 2022 Aug 10; Vol. 35 (4), pp. 298-305. Date of Electronic Publication: 2022 Aug 10 (Print Publication: 2022). |
| DOI: | 10.1055/s-0042-1743583 |
| Abstrakt: | In recent decades, surgery for rectal cancer has evolved from an operation normally performed under poor vision with a lot of blood loss, relatively high morbidity, and mortality to a safer operation. Currently, minimally invasive rectal procedures are performed with limited blood loss, reduced morbidity, and minimal mortality. The main cause is better knowledge of anatomy and adhering to the principle of operating along embryological planes. Surgery has become surgery of compartments, more so than that of organs. So, rectal cancer surgery has evolved to mesorectal cancer surgery as propagated by Heald and others. The focus on the mesentery of the rectum has led to renewed attention to the anatomy of the fascia surrounding the rectum. Better magnification during laparoscopy and improved optimal three-dimensional (3D) vision during robot-assisted surgery have contributed to the refinement of total mesorectal excision (TME). In this chapter, we describe how to perform a robot-assisted TME with particular attention to the mesentery. Specific points of focus and problem solving are discussed. Competing Interests: Conflict of Interest Rogier Crolla and Esther Consten are both proctors for Intuitive. (Thieme. All rights reserved.) |
| Databáze: | MEDLINE |
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