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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2022, Vol. 11 ›› Issue (05): 372-376. doi: 10.3877/cma.j.issn.2095-3224.2022.05.004

• Anatomy and Operative surgery • Previous Articles     Next Articles

The"membrane" anatomical understanding and the surgical value of laparoscopic caudal-to-cranial approach for radical right hemicolectomy

Liaonan Zou1, Xuan Li2, Laizhou Xue2, Yurong Chen2, Li Zhang1, Xueming Liang1, Zhiqiang Chen3,()   

  1. 1. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Department of Anorectal Surgery, Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, China
    2. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
    3. Department of the Perioperative Team, Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, China
  • Received:2022-09-01 Online:2022-10-25 Published:2022-11-25
  • Contact: Zhiqiang Chen

Abstract:

Laparoscopic caudal approach for radical right hemicolectomy emphasizes the anatomical structure of the mesentery, dissection in the intermembranous space, and pays attention to the peritoneum, fascia, fusion fascia, mesentery, peritoneal reflex and mesenteric fascia. The anatomical structure such as the membrane plane conforms to the anatomical principles of "membrane" and "mesentery", which reduces the difficulty of surgical operation, and the surgical procedure is repeatable. In this paper, the anatomic basis and clinical application of this approach in the radical resection of right colon cancer will be discussed.

Key words: Colorectal neoplasms, Caudal-to-cranial approach, Mesenteric anatomy

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