Female near-TME: standardization of proctectomy in women with ulcerative colitis.

Autor: Ferrer-Inaebnit E; Unidad de Coloproctología, Servicio Cirugía General y Aparato Digestivo, Hospital Universitario Son Espases, Palma de Mallorca, Spain., Jeri McFarlene S; Unidad de Coloproctología, Servicio Cirugía General y Aparato Digestivo, Hospital Universitario Son Espases, Palma de Mallorca, Spain; Instituto de Investigación Sanitaria Illes Balears (IdISBa), Spain; Profesor del Departamento de Anatomía y Embriología Humana, Universidad de Islas Baleares (UIB), Palma de Mallorca, Spain., García-Granero García-Fuster A; Unidad de Coloproctología, Servicio Cirugía General y Aparato Digestivo, Hospital Universitario Son Espases, Palma de Mallorca, Spain; Instituto de Investigación Sanitaria Illes Balears (IdISBa), Spain; Profesor del Departamento de Anatomía y Embriología Humana, Universidad de Islas Baleares (UIB), Palma de Mallorca, Spain. Electronic address: alvarogggf@hotmail.com., González Argenté X; Unidad de Coloproctología, Servicio Cirugía General y Aparato Digestivo, Hospital Universitario Son Espases, Palma de Mallorca, Spain; Profesor del Departamento de Anatomía y Embriología Humana, Universidad de Islas Baleares (UIB), Palma de Mallorca, Spain.
Jazyk: angličtina
Zdroj: Cirugia espanola [Cir Esp (Engl Ed)] 2024 Jan; Vol. 102 (1), pp. 32-39. Date of Electronic Publication: 2023 Nov 11.
DOI: 10.1016/j.cireng.2023.11.005
Abstrakt: Traditionally, 2 surgical techniques for proctectomy in ulcerative colitis have been used: total mesorectal excision (TME), and close rectal dissection (CRD). Recently, our research group has proposed the standardization of the Near-TME technique, which unites the advantages of both methods. It decreases the risk of pelvic autonomic nerve injury and reduces the volume of mesorectal remnant. When performing the Near-TME, the anatomical landmarks differ between men and women, especially in the anterolateral hemicircumference. The objective of this paper is to standardize the Near-TME technique in women (Female Near-TME) using characteristic surgical-anatomic landmarks of the female pelvis based on illustrations and a real case treated laparoscopically. This technique should be carried out by surgeons with experience in inflammatory bowel disease surgery and extensive knowledge of surgical anatomy.
(Copyright © 2023. Published by Elsevier España, S.L.U.)
Databáze: MEDLINE
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