直肠系膜全切除的相关应用解剖及实用手法技巧

The Clinical Anatomy and Operative Manoeuvre for Total Mesorectal Excision

直肠系膜全切除治疗中低位直肠癌可显著降低局部复发率。本文根据会阴、肛管、直肠、结肠、膈膜、盆筋膜、血管、神经、输尿管的解剖介绍直肠系膜全切除的手法技巧。

Total mesorectal excision (TME) is believed to significantly decrease the local recurrence rate of low and middle rectal cancer. The operative manoeuvre in performing TME is introduced according to the anatomy of perineum, anus, colorectum, peritoneum, pelvic fasica, vasculars, nerves and ureters.