![]() ![]() ![]() Methods: 130 patients were included, each of whom underwent a three-dimensional reconstruction of the colon from abdominal CT scans without obvious signs of pathology. Objective: This study analyzes the influence of sex, age and body mass index on the anatomy of the colon as determined by three-dimensional reconstructions from computed tomography scans. The goals of complete mesocolic, total mesocolic and mesorectal excision can be universally achieved at any level from duodenojejunal flexure to anorectal junction, by adopting technical elements based on mesenteric, peritoneal and fascial contiguity. Mesenteric, peritoneal and fascial contiguity mean that in resectional surgery, these technical elements can be reproducibly applied at all levels from the origin at the superior mesenteric root, to the anorectal junction. These are the fundamental technical elements of mesenterectomy. peritonotomy), and mesenteric mobilisation in the mesofascial plane. complete mesocolic excision, total mesocolic and mesorectal excision) requires division of the peritoneal reflection (i.e. The aim of this review was to demonstrate the relevance of the contiguity principle to resectional colorectal surgery.Īll literature in relation to mesenteric anatomy was reviewed from 1873 to the present, without language restriction. This led to similar observations in relation to associated peritoneum and fascia. Recent anatomic observations have demonstrated that the mesenteric organ is contiguous from the duodenojejunal to the anorectal junction. It is now well established that mesenteric-based colorectal surgery is associated with superior outcomes. ![]()
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