From basic to clinical:Anatomy of Denonvilliers’fascia and its application in laparoscopic radical resection of rectal cancer  

作　　者：Zhou Chen Xiao-Jing Zhang Hao-Dong Chang Xiao-Qian Chen Shan-Shan Liu Wei Wang Zhi-Heng Chen Yu-Bin Ma Liang Wang 

机构地区：[1]Department of Gastrointestinal Oncology Surgery,TheAffiliated Hospital of Qinghai University,Xining 810000,Qinghai Province,China [2]Department of General Surgery,The Affiliated Hospital of Qinghai University,Xining 810000,Qinghai Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2023年第10期2108-2114,共7页世界胃肠外科杂志（英文版）（电子版）

基　　金：the Key Project of the Qinghai Provincial Health Commission,No.2019-wjzd-06.

摘　　要：The total mesorectal excision(TME)approach has been established as the gold standard for the surgical treatment of middle and lower rectal cancer.This approach is widely accepted to minimize the risk of local recurrence and increase the long-term survival rate of patients undergoing surgery.However,standardized TME causes urogenital dysfunction in more than half of patients,thus lowering the quality of life of patients.Of note,pelvic autonomic nerve damage during TME is the most pivotal cause of postoperative urogenital dysfunction.The anatomy of the Denonvilliers’fascia(DVF)and its application in surgery have been investigated both nationally and internationally.Nevertheless,controversy exists regarding the basic to clinical anatomy of DVF and its application in surgery.Currently,it is a hotspot of concern and research to improve the postoperative quality of life of patients with rectal cancer through the protection of their urinary and reproductive functions after radical resection.Herein,this study systematically describes the anatomy of DVF and its appli-cation in surgery,thus providing a reference for the selection of surgical treatment modalities and the enhancement of postoperative quality of life in patients with middle and low rectal cancer.

关 键 词：Denonvilliers’fascia Total mesorectal excision Middle and low rectal cancer Laparoscopic surgery Dissect 

分 类 号：R735.37[医药卫生—肿瘤]