Prostatic Marker Needles to Define the Anterior Dissection Planes during APR for Rectal Cancers in Patients with Previous Radiotherapy for Prostate Cancer

Autor: Alasdair McKendrick, Ralph Pearlman, Patrick W. McLaughlin, Tafadzwa Makarawo, Jacob Juta, Gokulakkrishna Subhas
Rok vydání: 2011
Předmět:
Zdroj: Journal of Gastrointestinal Surgery. 16:408-410
ISSN: 1873-4626
1091-255X
Popis: IntroductionIn low rectal cancers for which the sphincter mechanismproves unsalvageable, the abdominoperineal resection(APR) is frequently used. The most critical portion ofAPR is the anterior dissection because of the proximity ofthe urethra. This requires a perineal dissection wherein theanterior dissection should proceed dorsally to the bulboca-vernosus muscle to avoid injury to the membranous urethra.In males, though the rectum and prostate curve away fromone another as two convex surfaces, approximately up tohalf of the posterior prostate surface is in close contact withanterior rectum.
Databáze: OpenAIRE