

Applied anatomy of rectal adjacent structure in procedure of trans-anal rectosigmoidectomy
TUN Hua-Dong, ZHOU Jian, YANG Xin-Wen, WANG Ning, HOU Jia-Wei, JIN Xin
Chinese Journal of Clinical Anatomy ›› 2012, Vol. 30 ›› Issue (2) : 153-156.
Applied anatomy of rectal adjacent structure in procedure of trans-anal rectosigmoidectomy
Objective To provide the guidance for transanal rectal resection through anatomic observation with the center of lower rectum. Methods The rectal adjacent structures were observed and the width and thickness of anus sphincter were measured, and then the thickness of recto-vaginal gap and recto-urethra gap were measured and recorded on 14 basin specimens and the film of basin CT scan in 28 adults which were selected from the material without pelvic diseases. The data were compared among different measuring ways and sexes and analyzed with t-Test statistically. Results There were many muscular structures surrounded the lower rectum and anus, and every muscule with fascia bandle itself could be recognized easily. The measured values of recto-urethra gap on basin specimens and CT films were(1.65±0.19)cm and (1.26±0.05)cm ,and the values of recto-vaginal gap were(0.89±0.11)cm and(0.75±0.04)cm respectively. It was larger in basin specimens than that in CT films and also larger the values of recto-urethra gap in males than that of recto-vaginal gap in females with significant statistical differences (P< 0.05). Conclusions Recognition the structures carefully and keeping the anatomic plane are necessary for avoiding invase injury, because of complicated adjacent structure around the lower rectum and thining recto-vaginal septum.
Rectum / Adjacent structure / Trans-anal rectosigmoidectomy / Spplied anatomy
[1] 周 健,吴学东. 经肛门切除治疗乙状结肠直肠外科疾病的研究进展
[J]. 中国微创外科杂志, 2007, 7(5):9-11.
[2] 吴学东, 李 庄, 李 俊, 等. 经肛门乙直肠切除治疗直肠脱垂的临床研究
[J]. 大理学院学报, 2009,8(2):72-75.
[3] Torre DE LA,Mondragon L, Ortega-Salgado JA. Transanal endorectal pull-through for hirschsprung’s disease
[J]. J Pediatr Surg,1998, 33:1283-1286.
[4] Gao Y, Li G, Zhang X, et al. Primary transanal rectosigmoidectomy for Hirschsprung's disease: Preliminary results in the initial 33 cases
[J]. J Pediatr Surg 2001, 36(12):1816-1819.
[5] Peterlini FL, Martins JL. Modified transanal rectosigmoidectomy for Hirschsprung’s disease: clinical and manometric results in the initial 20 cases
[J]. J Pediatr Surg, 2003, 38(7):1048-1050.
[6] 周 健, 吴学东, 李 庄, 等. 经肛门乙直肠切除术治疗儿童直肠脱垂
[J]. 中华小儿外科杂志,2007,28(5):276-277.
[7] 李 鹏, 刘洪一, 王白石, 等. 经肛门内镜下手术(TEM)在直肠肿瘤治疗中的应用
[J]. 军医进修杂志, 2011,32(2):109-110.
[8] 洪 健, 唐云强. 早期低位直肠癌局部切除23例疗效分析
[J]. 癌症,2005,24(1):79-81.
[9] 陈雨历. 经肛门肌鞘内结肠拖出术与解剖
[J]. 中华小儿外科杂志, 2001,22(5):303.
[10]翟丽东, 刘 瑾, 袁 武. 直肠阴道隔的解剖学研究及其临床意义
[J]. 中国临床解剖学杂志, 2009,27(4):405-407.
[11]刘 瑾, 翟丽东, 李云生. 直肠阴道隔(RVS)区域的薄层断面解剖学研究
[J]. 中国临床解剖学杂志, 2009,27(6):663-664,667.
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