• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Neuro-anatomy of the posterior parametrium and surgical considerations for a nerve-sparing approach in radical pelvic surgery.
【24h】

Neuro-anatomy of the posterior parametrium and surgical considerations for a nerve-sparing approach in radical pelvic surgery.

机译：盆腔后部的神经解剖学和根治性骨盆手术中保留神经的方法的手术考虑。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Efforts to improve approaches to the so called "parametrium" with minimally invasive and less dangerous techniques have led to a better study of the anatomic location and composition of that region. Nevertheless, many misconceptions and confusions about the anatomy of the posterior parametrium and its structures still remain. This study aimed to review anatomic and surgical data and to identify several clear landmarks and surgical steps for a nerve-sparing approach to posterior parametrectomy in the course of radical pelvic surgery with or without rectal resection.The literature and anatomic dissections of fresh, embalmed, and formalin-fixed female pelvis cadavers were reviewed. The authors' laparotomic and laparoscopic case series also was reviewed for deep-infiltrating endometriosis as well as uterine, ovarian, and rectal cancer.The anatomic entity commonly termed the "posterior parametrium" can be identified as the conjunction of three important anatomic structures (ligaments): the cranial structure (uterosacral ligaments), the caudad structure (rectovaginal ligaments), and the laterocaudad structure (lateral rectal ligaments). Identification of these structures (containing autonomic innervations for pelvic viscera) may allow an accurate nerve-sparing surgical approach in many radical pelvic operations.The incidences of urinary, rectal, and sexual morbidity after radical pelvic surgical procedures for oncologic diseases (rectal/ovarian cancer, advanced endometrial/cervical cancer, posterior pelvic recurrences) and deep severe endometriosis can be reduced by better knowing and dissecting the right embryo-anatomic planes of the so-called "posterior parametrium."
机译：用微创和危险性较小的技术来改进所谓“子宫内膜炎”的方法的努力已导致对该区域的解剖学位置和组成的更好的研究。然而，关于子宫后侧子宫及其结构的许多误解和困惑仍然存在。本研究旨在回顾解剖学和外科手术数据，并确定在进行或不进行直肠切除的根治性盆腔手术中采用神经保留方法进行后路准金属切除术的几个明确的标志性步骤和外科手术步骤。并审查了福尔马林固定的女性骨盆尸体。作者的腹腔镜和腹腔镜病例系列也针对深层浸润性子宫内膜异位症以及子宫癌，卵巢癌和直肠癌进行了综述。通常被称为“后子宫旁子宫”的解剖实体可以被识别为三个重要解剖结构（韧带）的结合体。 ）：颅骨结构（子宫ac韧带），颅骨结构（阴道阴道韧带）和腹膜后构造（直肠外侧韧带）。这些结构的识别（包含盆腔内脏的自主神经支配）可能允许在许多根治性盆腔手术中采用精确的神经保留手术方法。 ，晚期子宫内膜/宫颈癌，盆腔后部复发）和严重的严重子宫内膜异位症，可以通过更好地了解和解剖所谓的“子宫后部子宫内膜”的正确胚胎解剖平面来减少。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号