Identification of the surgical indication line for the Denonvilliers’fascia and its anatomy in patients with rectal cancer

作     者：Jianglong Huang Jing Liu Jiafeng Fang Zongheng Zeng Bo Wei Tufeng Chen Hongbo Wei 

作者机构：Department of Gastrointestinal SurgeryThe Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630GuangdongP.R.China Department of Human AnatomyHistology and EmbryologyGuangdong Pharmaceutical UniversityGuangzhou 510006GuangdongP.R.China 

出 版 物：《Cancer Communications》 (癌症通讯（英文）)

年 卷 期：2020年第40卷第1期

页      面：25-31页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Sun Yat-sen University clinical research 5010 program Grant/Award Number:2016Y9031 

主　　题：cadaver dissection laparoscopic surgery pelvic autonomic nerve preservation rectal cancer the Denonvilliers’fascia total mesorectal excision 

摘      要：Background:The high rate of urogenital dysfunction after traditional total mesorectal excision(TME)has caused doubts among scholars on the standard fashion of *** have proposed the necessity to preserve the Denonvilliers’fascia in patients with rectal ***,how to accurately locate the Denonvilliers’fascia is *** study aimed to explore anatomical features of the Denonvilliers’fascia by comparing autopsy findings and observations of surgical videos so as to propose a dissection method for the preservation of pelvic autonomic nerves during rectal cancer ***:Five adult male cadaver specimens were dissected,and surgical videos of 135 patients who underwent TME for mid-low rectal cancer between January 2009 and February 2019 were reviewed to identify and compare the structure of the Denonvilliers’***:The monolayer structure of the Denonvilliers’fascia was observed in 5 male cadaver specimens,and it was located between the rectum,the bottom of the bladder,the seminal vesicles,the vas deferens,and the *** Denonvilliers’fascia was originated from the rectovesical pouch(or rectum-uterus pouch),down to fuse caudally with the rectourethral muscle at the apex of the prostate,and fused to the lateral ligaments on both *** fascia was thinner on the midline with a thickness of 1.06±0.10 *** crown shape of the Denonvilliers’fascia was slightly triangular,with a height of approximately 5.42±0.16 cm at *** were more densely distributed in front of the Denonvilliers’fascia than behind,especially on both sides of *** laparoscopic view,the Denonvilliers’fascia was originated at the lowest point of the rectovesical pouch(or rectum-uterus pouch),with a thickened white line which was a good mark for identifying the Denonvilliers’***:Identification of the surgical indication line for the Denonvilliers’fascia could help us identify the Denonvilliers’fascia,and it would improve our ability to pr