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Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision

Authors
 Cristopher Varela  ;  Manar Nassr  ;  Nam Kyu Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.63(5) : 490-492, 2022-05 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2022-05
MeSH
Arteries / surgery ; Collateral Ligaments* ; Humans ; Laparoscopy* / methods ; Pelvis / innervation ; Pelvis / surgery ; Rectal Neoplasms* / surgery ; Rectum / surgery
Keywords
Rectal cancer surgery ; deep anterolateral dissection ; gate approach to the pelvic floor ; total mesorectal excision
Abstract
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.
Files in This Item:
T9992023166.pdf Download
DOI
10.3349/ymj.2022.63.5.490
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/194508
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