期刊
YONSEI MEDICAL JOURNAL
卷 63, 期 5, 页码 490-492出版社
YONSEI UNIV COLL MEDICINE
DOI: 10.3349/ymj.2022.63.5.490
关键词
Rectal cancer surgery; gate approach to the pelvic floor; total mesorectal excision; deep anterolateral dissection
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.
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.
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