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用于改善直肠癌治疗的详细应用解剖学。

Detailed and applied anatomy for improved rectal cancer treatment.

作者信息

Νikolouzakis Τaxiarchis Κonstantinos, Mariolis-Sapsakos Theodoros, Triantopoulou Chariklia, De Bree Eelco, Xynos Evaghelos, Chrysos Emmanuel, Tsiaoussis John

机构信息

Laboratory of Anatomy-Histology-Embryology, Medical School of Heraklion, University of Crete (Taxiarchis Konstantinos Nikolouzakis, John Tsiaoussis).

Surgical Department, National and Kapodistrian University of Athens, Agioi Anargyroi General and Oncologic Hospital of Kifisia, Athens (Theodoros Mariolis-Sapsakos).

出版信息

Ann Gastroenterol. 2019 Sep-Oct;32(5):431-440. doi: 10.20524/aog.2019.0407. Epub 2019 Jul 22.

DOI:10.20524/aog.2019.0407
PMID:31474788
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6686088/
Abstract

Rectal anatomy is one of the most challenging concepts of visceral anatomy, even though currently there are more than 23,000 papers indexed in PubMed regarding this topic. Nonetheless, even though there is a plethora of information meant to assist clinicians to achieve a better practice, there is no universal understanding of its complexity. This in turn increases the morbidity rates due to iatrogenic causes, as mistakes that could be avoided are repeated. For this reason, this review attempts to gather current knowledge regarding the detailed anatomy of the rectum and to organize and present it in a manner that focuses on its clinical implications, not only for the colorectal surgeon, but most importantly for all colorectal cancer-related specialties.

摘要

直肠解剖是内脏解剖学中最具挑战性的概念之一,尽管目前在PubMed上有超过23000篇关于该主题的论文被索引。然而,尽管有大量信息旨在帮助临床医生提高实践水平,但对于其复杂性仍没有普遍的认识。这反过来又增加了医源性原因导致的发病率,因为本可避免的错误不断重复。因此,本综述试图收集有关直肠详细解剖的当前知识,并以一种不仅关注结直肠外科医生,更重要的是关注所有与结直肠癌相关专业的临床意义的方式进行整理和呈现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/20aabc4c1ac9/AnnGastroenterol-32-431-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/f88be6da6b3c/AnnGastroenterol-32-431-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/366038d3258b/AnnGastroenterol-32-431-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/aa2e3cf05e5c/AnnGastroenterol-32-431-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/20aabc4c1ac9/AnnGastroenterol-32-431-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/f88be6da6b3c/AnnGastroenterol-32-431-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/366038d3258b/AnnGastroenterol-32-431-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/aa2e3cf05e5c/AnnGastroenterol-32-431-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8278/6686088/20aabc4c1ac9/AnnGastroenterol-32-431-g004.jpg

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本文引用的文献

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The rectosigmoid problem.直肠乙状结肠问题。
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2
Are Colon and Rectal Cancer Two Different Tumor Entities? A Proposal to Abandon the Term Colorectal Cancer.结肠癌和直肠癌是两种不同的肿瘤实体吗?建议放弃“结直肠癌”一词。
Int J Mol Sci. 2018 Aug 30;19(9):2577. doi: 10.3390/ijms19092577.
3
Variation in landmarks for the rectum: an MRI study.直肠标志的变化:一项 MRI 研究。
Transl Neurosci. 2021 Oct 8;12(1):362-378. doi: 10.1515/tnsci-2020-0184. eCollection 2021 Jan 1.
4
MRI-detected extramural venous invasion of rectal cancer: Multimodality performance and implications at baseline imaging and after neoadjuvant therapy.MRI检测到的直肠癌壁外静脉侵犯:基线成像及新辅助治疗后的多模态表现及意义
Insights Imaging. 2021 Aug 9;12(1):110. doi: 10.1186/s13244-021-01023-4.
5
MRI of rectal cancer-relevant anatomy and staging key points.直肠癌相关解剖结构及分期要点的磁共振成像
Insights Imaging. 2020 Sep 3;11(1):100. doi: 10.1186/s13244-020-00890-7.
Colorectal Dis. 2018 Oct;20(10):O304-O309. doi: 10.1111/codi.14398. Epub 2018 Sep 26.
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Fat-suppressed gadolinium-enhanced isotropic high-resolution 3D-GRE-T1WI for predicting small node metastases in patients with rectal cancer.抑脂增强各向同性高分辨率 3D-GRE-T1WI 预测直肠癌患者小淋巴结转移的价值。
Cancer Imaging. 2018 May 21;18(1):21. doi: 10.1186/s40644-018-0153-9.
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Reappraisal of the lateral rectal ligament: an anatomical study of total mesorectal excision with autonomic nerve preservation.直肠外侧韧带的重新评估:保留自主神经的全直肠系膜切除的解剖学研究
Int J Colorectal Dis. 2018 Jun;33(6):763-769. doi: 10.1007/s00384-018-3010-1. Epub 2018 Mar 19.
6
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Internal anal sphincter nerves - a macroanatomical and microscopic description of the extrinsic autonomic nerve supply of the internal anal sphincter.肛门内括约肌神经 - 肛门内括约肌外在自主神经供应的宏观解剖和微观描述。
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