Fukukukyoka Daichogan Shujutsu : Operative Procedures Based on the Embryological Anatomy of the Fascial Composition
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- Fukukukyoka Daichogan Shujutsu : Operative Procedures Based on the Embryological Anatomy of the Fascial Composition
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- Title remainder
- Operative Procedures Based on the Embryological Anatomy of the Fascial Composition
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- online resource
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- Contents
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- Foreword -- Preface -- Contents -- 1: Basic Principles -- 1.1 Introduction -- 1.2 Definition of the Terminology-Dissection, Cutting, Fusion, and Adhesion -- 1.2.1 The Concept of Dissection and Cutting -- 1.2.2 The Difference Between Adhesion and Fusion -- 1.2.3 The Concept of Dissection in Endoscopic Surgery -- 1.3 Peritoneal Configuration, Body Wall, and Intestinal Rotation in Foetal Life -- 1.4 Intestinal Rotation and Peritoneum -- 1.5 Relationship Between the Stomach and Transverse Colon-Particular Relationship at the Centre of the Transverse Colon -- 1.6 The Presence of Histological Fascia -- 1.7 Vascular Anatomy and Lymph Node Dissection of the Colon [12] -- 1.7.1 Vascular Anatomy and Lymph Node Dissection of the Right Colon -- 1.7.2 Vascular Anatomy and Lymph Node Dissection of the Left Colon -- 1.7.3 Vascular Anatomy of the Splenic Flexure -- 1.7.4 Definitions of Surgical Treatments for Colon Cancer -- 1.8 Fascial Anatomy of the Umbilicus and the Method for Insertion of Hasson's Cannula -- 1.9 Summary -- References -- 2: Basic Approach -- 2.1 Basic Approach for Colorectal Cancer -- 2.1.1 Indication -- 2.1.1.1 Colon Cancer -- 2.1.1.2 Rectal Cancer -- 2.1.2 Marking of the Lesion and Preoperative Treatment -- 2.2 Basic Approach for the Operation -- 2.2.1 Patient Positioning -- 2.2.2 Cannula Positioning -- 2.2.3 Exposure of the Operative Field -- 2.2.4 Anatomical Landmarks and Searching in the Abdominal Cavity -- 3: Laparoscopic Sigmoidectomy -- 3.1 Introduction -- 3.2 Fundamentals Related to the Sigmoid Colon -- 3.3 Resection Range and Degree of the Lymph Node Dissection -- 3.4 Fascial Composition and Fusion Fascia of the Descending Colon and Sigmoid Colon -- 3.5 Operative Procedures (in Men) -- 3.5.1 Intraoperative Positions, the Trocar Site and Elimination of the Small Intestine -- 3.5.2 Operative Procedures
- 3.5.2.1 Dissection and Mobilisation of the Sigmoid Colon with the Medial Approach -- Dissection and Mobilisation of the Sigmoid Colon from the Lateral Side -- 3.5.2.2 Lymph Node Dissection at the Root of the IMA -- 3.5.2.3 Dissection and Mobilisation of the Sigmoid Colon with the Lateral Approach (Supplementary) -- Dissection and Mobilisation of the Sigmoid Colon from the Lateral Side -- Dissection and Mobilisation of the Sigmoid Colon from the Medical Side -- 3.5.2.4 Dissection of the Dorsal Side of the Rectum -- 3.5.2.5 Division of the Sigmoid Colon or the Rectum at the Anal Side -- 3.5.2.6 The Procedure from the Auxiliary Incision -- 3.5.2.7 Anastomosis -- 3.5.2.8 Drain Insertion and Wound Closure -- 3.6 How to Understand the Fascial Composition -- 3.6.1 Deep Subperitoneal Fascia -- 3.6.2 Fascial Composition of the Dorsal Side of the Rectum - The Fascia Propria of the Rectum -- 3.6.3 Anatomical Landmarks in the Medial Approach -- 3.6.4 Anatomical Landmarks in the Lateral Approach -- References -- 4: Laparoscopic Low Anterior Resection of the Rectum -- 4.1 Introduction -- 4.2 Resection Range and Degree of the Lymph Node Dissection -- 4.3 Fascial Composition and Fusion Fascia of the Rectum -- 4.3.1 Level of Aortic Bifurcation (Fig. 4.1 (1)) -- 4.3.2 Level of the Promontorium (Fig. 4.1 (2)) -- 4.3.3 Level of the Rectovesical Fossa (Fig. 4.1 (3)) -- 4.3.4 Level of the Lateral Ligament (Fig. 4.1 (4)) -- 4.3.5 Level of the Caudal Portion of the Terminal End of the Deep Subperitoneal Fascia (Fig. 4.1 (5)) -- 4.4 Operative Procedures (in Men) -- 4.4.1 Intraoperative Positions, Trocar Site and the Elimination of the Small Intestine -- 4.4.2 Operative Procedures (Figure Shows the Case of Men) -- 4.4.2.1 Dissection in the Lesser Pelvis (Especially in the Retrorectal Space)
- 4.4.2.2 Incision and Dissection of the Ventral Side of the Rectum (Dissection of the Ventral Side of Denonvilliers' Fascia) -- 4.4.2.3 Dissection of the Right Lateral Ligament -- 4.4.2.4 Dissection of the Left Lateral Ligament -- 4.4.2.5 Further Dissection and Cutting of the Ventral Side of the Rectum (Division of Denonvilliers' Fascia) -- 4.4.2.6 Division of the Rectum -- 4.4.2.7 The Procedure from the Auxiliary Incision -- 4.4.2.8 Anastomosis -- 4.4.2.9 Insertion of a Drain and Closure of the Wound -- 4.5 Intersphincteric Resection of the Rectum (ISR) -- 4.5.1 Dissection the Anal Canal from the Cranial Side -- 4.5.2 Procedure from the Anus in the ISR -- 4.6 Fascial Composition of the Pelvis-Fascia Propria of the Rectum [2] -- 4.7 Current Issues and Proposal of the Fascial Composition of the Rectum [2] -- 4.7.1 Fascia Composition of the Sigmoid Colon -- 4.7.2 Definition of the Fascia Propria of the Rectum -- 4.7.3 Definition of the Rectosacral Ligament -- 4.7.4 Fascial Configuration in the Ventral Side of the Lower Rectum, and in Particular About Denonvilliers' Fascia -- 4.7.5 Fascial Configuration in the Lateral Sides of the Rectum -- References -- 5: Laparoscopic Abdominoperineal Resection of the Rectum -- 5.1 Introduction -- 5.2 Stoma Site Marking and Preoperative Treatment -- 5.3 Operative Procedures (in Men) -- 5.3.1 Treatment of the Anus -- 5.3.2 Intraoperative Positions -- 5.3.3 Operative Procedures -- 5.3.3.1 Additional Dissection in the Lesser Pelvis (Especially in the Retrorectal Space) -- 5.3.3.2 Further Dissection of the Ventral Side of the Rectum -- 5.3.3.3 Division of the Sigmoid Colon -- 5.3.3.4 Operation from the Perinaeum -- 5.3.3.5 Endo-colostomy and Insertion of the Drain -- 5.3.3.6 Closure of the Port Puncture Wound and Maturation of the Stoma -- 5.4 Concept of Abdominoperineal Operation
- 5.5 Fascial Composition in the Parasacral Approach (Kraske Operation) -- References -- 6: Laparoscopic Right Colectomy -- 6.1 Introduction -- 6.2 Resection Range and Degree of Lymph Node Dissection -- 6.3 Fascial Composition of the Right-Side Colon -- 6.4 Operative Procedure (in Men) -- 6.4.1 Incision of the Peritoneum in the Mesenteric Root -- 6.4.2 Dissection of the Fusion Fascia of Toldt from the Deep Subperitoneal Fascia -- 6.4.3 Linearization of the Ascending Colon and the Transverse Colon -- 6.4.4 Dissection and Division of the Hepatic Flexure of the Colon -- 6.4.5 Lymph Node Dissection of the Surgical Trunk -- 6.4.6 Small Auxiliary Incision -- 6.4.7 Intestinal Resection and Anastomosis -- 6.4.8 Wound Closure -- 6.5 Clinical Anatomy in the Medial-{u00AD}Retroperitoneal Approach for Right Colon Cancer -- References -- 7: Laparoscopic Left Colectomy -- 7.1 Introduction -- 7.2 Resection Range and Degree of the Lymph Node Dissection -- 7.3 Fascial Composition and Fusion Fascia of the Left Colon and the Splenic Flexure of the Colon -- 7.4 Operative Procedures (in Men) -- 7.4.1 Dissection and Mobilisation of the Sigmoid Colon Using the Medial Approach -- 7.4.2 Lymph Node Dissection at the Root of the IMA -- 7.4.3 Mobilisation of the Descending Colon -- 7.4.4 Approach from the Gastro-Colic Ligament -- 7.4.5 Small Auxiliary Incision -- 7.4.6 Intestinal Resection and Anastomosis -- 7.4.7 Wound Closure -- 7.5 Mobilisation of the Splenic Flexure of the Colon -- References -- 8: Laparoscopic Subtotal Proctocolectomy -- 8.1 Introduction -- 8.2 Resection Range and Dgree of Lymph Node Dissection -- 8.3 Operative Procedures -- Reference -- 9: Unresolved Fascial Composition -- 9.1 Considerations Regarding the Sites of Unresolved Fascial Composition -- References
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