Anatomical considerations for transanal minimal-invasive surgery: the caudal to cephalic approach.

F AignerR HörmannH FritschJ PratschkeA D'HooreErich BrennerN WilliamsM Bieblnull null

Published in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2016)

This anatomical guide for the pelvic surgeon should facilitate a safe and nerve-sparing dissection of the mesorectal plane with a meticulous overview of the lowest autonomic nerve fibres. New anatomical insights by a 'caudal to cephalic' approach to the 'no-man's land' should help overcome anatomical constraints of a narrow, obese and male pelvis during rectal mobilization procedures.

Keyphrases

rectal cancer
minimally invasive
robot assisted
adipose tissue
type diabetes
heart rate variability
weight loss
peripheral nerve
coronary artery bypass
acute coronary syndrome
bariatric surgery
percutaneous coronary intervention
surgical site infection