Research progress of membrane anatomy theory in laparoscopic surgery for middle-low rectal cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Zhe ^1,2,3 , ZHU Mingqian ^1,2,3 ,  XIONG Binghong ^1,2,3

1. NO.1 School of Clinical Medicine, Kunming Medical University, Kunming 650032, P. R. China;
2. Department of General Surgery, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, P. R. China;
3. Yunnan General Surgical Disease Clinical Medical Center, Kunming 650032, P. R. China;

Corresponding?author：

XIONG Binghong, Email: xbh791220@163.com

Keywords：

membrane anatomy; rectal cancer; total mesorectal excision; fascia; space

DOI：

10.7507/1007-9424.202307031

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the progress and controversy of membrane anatomy theory in laparoscopic surgery for mid-low rectal cancer. Method The literature related to membrane anatomy theory in recent years was reviewed and summarized. Results The membrane anatomy theory not only improved the effect of total mesorectal excision, ensured the integrity of the mesorectum, more standardized the operation and principles of rectal cancer surgery, but also provided the operator with a broad vision and clear anatomical hierarchy. The theory of membrane anatomy had important clinical significance for tumor radical resection, organ resection and functional protection. However, this theory had not been unified, and the establishment of membrane plane and the choice of surgical plane were still needed to be studied and explored. Conclusion At present, scholars at home still regard the theory of membrane anatomy as the theoretical support and reference basis for the endoscopic treatment of mid-low rectal cancer, which can provide surgeons with new treatment prospects and research direction, and improve the survival expectancy and quality of life of patients with intestinal cancer in the future.

Citation： ZHANG Zhe, ZHU Mingqian, XIONG Binghong. Research progress of membrane anatomy theory in laparoscopic surgery for middle-low rectal cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(11): 1384-1388. doi: 10.7507/1007-9424.202307031 Copy

1.	Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery—the clue to pelvic recurrence? Br J Surg, 1982, 69(10): 613-616.
2.	Siani LM, Lucchi A, Berti P, et al. Laparoscopic complete mesocolic excision with central vascular ligation in 600 right total mesocolectomies: safety, prognostic factors and oncologic outcome. Am J Surg, 2017, 214(2): 222-227.
3.	池畔. 機器人全直腸系膜切除技巧與要領. 中國實用外科雜志, 2016, 36(11): 1148-1151.
4.	Kluth D, Jaeschke-Melli S, Fiegel H. The embryology of gut rotation. Semin Pediatr Surg, 2003, 12(4): 275-279.
5.	高志冬, 葉穎江. 完整結腸系膜切除術的相關解剖標志—系膜、筋膜和間隙. 中華胃腸外科雜志, 2016, 19(10): 1084-1087.
6.	Shinohara H, Kurahashi Y, Kanaya S, et al. Topographic anatomy and laparoscopic technique for dissection of No.6 infrapyloric lymph nodes in gastric cancer surgery. Gastric Cancer, 2013, 16(4): 615-620.
7.	Coffey JC. Surgical anatomy and anatomic surgery - clinical and scientific mutualism. Surgeon, 2013, 11(4): 177-182.
8.	高橋孝. 大腸癌根治術. 北京: 人民衛生出版社, 2003: 1-307.
9.	篠原尚, 水野惠文, 牧野尚彥. イラストレイテッド外科手術: 膜の解剖からみた術式のポイント. 日本: 醫學書院, 2010: 1-482.
10.	Mike M, Kano N. Laparoscopic surgery for colon cancer: a review of the fascial composition of the abdominal cavity. Surg Today, 2015, 45(2): 129-139.
11.	Coffey J, Lavery I, Sehgal R. Mesenteric principles of gastrointestinal surgery: basic and applied science. UK: CRC Press, 2017: 57-68.
12.	龔建平. 外科膜解剖—新的外科學基礎? 中華實驗外科雜志, 2015, 32(2): 225-226.
13.	池畔, 王梟杰. 膜解剖—推動精準腔鏡與機器人結直腸外科的動力. 中華胃腸外科雜志, 2019, 22(5): 406-412.
14.	龔建平. 膜解剖的興起與混淆. 中華胃腸外科雜志, 2019, 22(5): 401-405.
15.	衛洪波, 方佳峰. 腹腔鏡低位直腸癌手術精準筋膜解剖的原則與意義. 中華普外科手術學雜志 (電子版), 2022, 16(1): 13-17.
16.	林謀斌, 劉海龍, 江慧洪, 等. 結直腸手術膜解剖理論體系的探索. 中華胃腸外科雜志, 2021, 24(7): 575-581.
17.	孫凌宇, 楊冬冬, 鄭宏群. 各種膜解剖理論—互斥還是包容. 中華胃腸外科雜志, 2020, 23(7): 643-647.
18.	龔建平. 右半結腸癌根治術的外科膜解剖. 中華結直腸疾病電子雜志, 2015, 4(6): 600-601.
19.	閆治波, 戴勇. 膜解剖在直腸癌手術中的應用. 臨床外科雜志, 2021, 29(5): 415-417.
20.	韓方海, 鐘廣宇. 直腸癌全直腸系膜切除手術中保護盆腔自主神經的技術路徑. 臨床外科雜志, 2020, 28(5): 412-415.
21.	黃穎, 池畔. 膜解剖引導下的腹腔鏡直腸手術. 中華腔鏡外科雜志 (電子版), 2017, 10(6): 339-342.
22.	George D, Pramil K, Kamalesh NP, et al. Sexual and urinary dysfunction following laparoscopic total mesorectal excision in male patients: a prospective study. J Minim Access Surg, 2018, 14(2): 111-117.
23.	池畔. 基于膜解剖的腹腔鏡與機器人結直腸腫瘤手術學. 北京: 人民衛生出版社, 2019: 3-4.
24.	魏波, 黃盛鑫, 古翔鵬, 等. 盆筋膜解剖及其與直腸固有筋膜關系研究. 中國實用外科雜志, 2021, 41(7): 768-773.
25.	Heald RJ. The ‘Holy Plane’ of rectal surgery. J R Soc Med, 1988, 81(9): 503-508.
26.	Stelzner S, Heinze T, Nikolouzakis TK, et al. Perirectal fascial anatomy: new insights into an old problem. Dis Colon Rectum, 2021, 64(1): 91-102.
27.	Kinugasa Y, Murakami G, Suzuki D, et al. Histological identification of fascial structures posterolateral to the rectum. Br J Surg, 2007, 94(5): 620-626.
28.	劉海龍, 常毅, 林謀斌. 科學解讀膜解剖理論規范應用膜解剖名詞. 中華胃腸外科雜志, 2020, 23(7): 634-642.
29.	Zhu XM, Yu GY, Zheng NX, et al. Review of Denonvilliers’ fascia: the controversies and consensuses. Gastroenterol Rep (Oxf), 2020, 8(5): 343-348.
30.	黃江龍, 方佳峰, 鄭宗珩, 等. 首次發現: Denonvilliers筋膜手術標識線的術中辨識. 中國實用外科雜志, 2018, 38(11): 1236-1240.
31.	張輝亮, 莊競. 腹腔鏡結直腸外科膜解剖的再認識. 臨床外科雜志, 2018, 26(10): 731-732.
32.	衛洪波, 方佳峰. 基于膜解剖理念的保留鄧氏筋膜全直腸系膜切除術. 中華胃腸外科雜志, 2020, 23(7): 666-669.
33.	Wei B, Zheng Z, Fang J, et al. Effect of Denonvilliers’ fascia preservation versus resection during laparoscopic total mesorectal excision on postoperative urogenital function of male rectal cancer patients: initial results of Chinese PUF-01 randomized clinical trial. Ann Surg, 2021, 274(6): e473-e480.
34.	Fang J, Huang J, Zheng Z, et al. How to find Denonvilliers’ fascia during laparoscopic TME. Tech Coloproctol, 2019, 23(4): 391-392.
35.	張衛, 朱曉明. 基于盆腔膜解剖的腹腔鏡全直腸系膜切除術. 中華胃腸外科雜志, 2019, 22(5): 427-431.
36.	Huang J, Liu J, Fang J, et al. Identification of the surgical indication line for the Denonvilliers’ fascia and its anatomy in patients with rectal cancer. Cancer Commun (Lond), 2020, 40(1): 25-31.
37.	Fang J, Zheng Z, Wei H. Reconsideration of the anterior surgical plane of total mesorectal excision for rectal cancer. Dis Colon Rectum, 2019, 62(5): 639-641.
38.	謝禮鋒, 李新宇. TME的膜解剖學基礎及自主神經損傷機制的認識與保護. 結直腸肛門外科, 2023, 29(1): 6-13.
39.	Coffey JC, O'Leary DP. The mesentery: structure, function, and role in disease. Lancet Gastroenterol Hepatol, 2016, 1(3): 238-247.
40.	龔建平. 再論膜解剖的興起與混淆. 中華胃腸外科雜志, 2020, 23(7): 629-633.

1. Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery—the clue to pelvic recurrence? Br J Surg, 1982, 69(10): 613-616.
2. Siani LM, Lucchi A, Berti P, et al. Laparoscopic complete mesocolic excision with central vascular ligation in 600 right total mesocolectomies: safety, prognostic factors and oncologic outcome. Am J Surg, 2017, 214(2): 222-227.
3. 池畔. 機器人全直腸系膜切除技巧與要領. 中國實用外科雜志, 2016, 36(11): 1148-1151.
4. Kluth D, Jaeschke-Melli S, Fiegel H. The embryology of gut rotation. Semin Pediatr Surg, 2003, 12(4): 275-279.
5. 高志冬, 葉穎江. 完整結腸系膜切除術的相關解剖標志—系膜、筋膜和間隙. 中華胃腸外科雜志, 2016, 19(10): 1084-1087.
6. Shinohara H, Kurahashi Y, Kanaya S, et al. Topographic anatomy and laparoscopic technique for dissection of No.6 infrapyloric lymph nodes in gastric cancer surgery. Gastric Cancer, 2013, 16(4): 615-620.
7. Coffey JC. Surgical anatomy and anatomic surgery - clinical and scientific mutualism. Surgeon, 2013, 11(4): 177-182.
8. 高橋孝. 大腸癌根治術. 北京: 人民衛生出版社, 2003: 1-307.
9. 篠原尚, 水野惠文, 牧野尚彥. イラストレイテッド外科手術: 膜の解剖からみた術式のポイント. 日本: 醫學書院, 2010: 1-482.
10. Mike M, Kano N. Laparoscopic surgery for colon cancer: a review of the fascial composition of the abdominal cavity. Surg Today, 2015, 45(2): 129-139.
11. Coffey J, Lavery I, Sehgal R. Mesenteric principles of gastrointestinal surgery: basic and applied science. UK: CRC Press, 2017: 57-68.
12. 龔建平. 外科膜解剖—新的外科學基礎? 中華實驗外科雜志, 2015, 32(2): 225-226.
13. 池畔, 王梟杰. 膜解剖—推動精準腔鏡與機器人結直腸外科的動力. 中華胃腸外科雜志, 2019, 22(5): 406-412.
14. 龔建平. 膜解剖的興起與混淆. 中華胃腸外科雜志, 2019, 22(5): 401-405.
15. 衛洪波, 方佳峰. 腹腔鏡低位直腸癌手術精準筋膜解剖的原則與意義. 中華普外科手術學雜志 (電子版), 2022, 16(1): 13-17.
16. 林謀斌, 劉海龍, 江慧洪, 等. 結直腸手術膜解剖理論體系的探索. 中華胃腸外科雜志, 2021, 24(7): 575-581.
17. 孫凌宇, 楊冬冬, 鄭宏群. 各種膜解剖理論—互斥還是包容. 中華胃腸外科雜志, 2020, 23(7): 643-647.
18. 龔建平. 右半結腸癌根治術的外科膜解剖. 中華結直腸疾病電子雜志, 2015, 4(6): 600-601.
19. 閆治波, 戴勇. 膜解剖在直腸癌手術中的應用. 臨床外科雜志, 2021, 29(5): 415-417.
20. 韓方海, 鐘廣宇. 直腸癌全直腸系膜切除手術中保護盆腔自主神經的技術路徑. 臨床外科雜志, 2020, 28(5): 412-415.
21. 黃穎, 池畔. 膜解剖引導下的腹腔鏡直腸手術. 中華腔鏡外科雜志 (電子版), 2017, 10(6): 339-342.
22. George D, Pramil K, Kamalesh NP, et al. Sexual and urinary dysfunction following laparoscopic total mesorectal excision in male patients: a prospective study. J Minim Access Surg, 2018, 14(2): 111-117.
23. 池畔. 基于膜解剖的腹腔鏡與機器人結直腸腫瘤手術學. 北京: 人民衛生出版社, 2019: 3-4.
24. 魏波, 黃盛鑫, 古翔鵬, 等. 盆筋膜解剖及其與直腸固有筋膜關系研究. 中國實用外科雜志, 2021, 41(7): 768-773.
25. Heald RJ. The ‘Holy Plane’ of rectal surgery. J R Soc Med, 1988, 81(9): 503-508.
26. Stelzner S, Heinze T, Nikolouzakis TK, et al. Perirectal fascial anatomy: new insights into an old problem. Dis Colon Rectum, 2021, 64(1): 91-102.
27. Kinugasa Y, Murakami G, Suzuki D, et al. Histological identification of fascial structures posterolateral to the rectum. Br J Surg, 2007, 94(5): 620-626.
28. 劉海龍, 常毅, 林謀斌. 科學解讀膜解剖理論規范應用膜解剖名詞. 中華胃腸外科雜志, 2020, 23(7): 634-642.
29. Zhu XM, Yu GY, Zheng NX, et al. Review of Denonvilliers’ fascia: the controversies and consensuses. Gastroenterol Rep (Oxf), 2020, 8(5): 343-348.
30. 黃江龍, 方佳峰, 鄭宗珩, 等. 首次發現: Denonvilliers筋膜手術標識線的術中辨識. 中國實用外科雜志, 2018, 38(11): 1236-1240.
31. 張輝亮, 莊競. 腹腔鏡結直腸外科膜解剖的再認識. 臨床外科雜志, 2018, 26(10): 731-732.
32. 衛洪波, 方佳峰. 基于膜解剖理念的保留鄧氏筋膜全直腸系膜切除術. 中華胃腸外科雜志, 2020, 23(7): 666-669.
33. Wei B, Zheng Z, Fang J, et al. Effect of Denonvilliers’ fascia preservation versus resection during laparoscopic total mesorectal excision on postoperative urogenital function of male rectal cancer patients: initial results of Chinese PUF-01 randomized clinical trial. Ann Surg, 2021, 274(6): e473-e480.
34. Fang J, Huang J, Zheng Z, et al. How to find Denonvilliers’ fascia during laparoscopic TME. Tech Coloproctol, 2019, 23(4): 391-392.
35. 張衛, 朱曉明. 基于盆腔膜解剖的腹腔鏡全直腸系膜切除術. 中華胃腸外科雜志, 2019, 22(5): 427-431.
36. Huang J, Liu J, Fang J, et al. Identification of the surgical indication line for the Denonvilliers’ fascia and its anatomy in patients with rectal cancer. Cancer Commun (Lond), 2020, 40(1): 25-31.
37. Fang J, Zheng Z, Wei H. Reconsideration of the anterior surgical plane of total mesorectal excision for rectal cancer. Dis Colon Rectum, 2019, 62(5): 639-641.
38. 謝禮鋒, 李新宇. TME的膜解剖學基礎及自主神經損傷機制的認識與保護. 結直腸肛門外科, 2023, 29(1): 6-13.
39. Coffey JC, O'Leary DP. The mesentery: structure, function, and role in disease. Lancet Gastroenterol Hepatol, 2016, 1(3): 238-247.
40. 龔建平. 再論膜解剖的興起與混淆. 中華胃腸外科雜志, 2020, 23(7): 629-633.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research progress of membrane anatomy theory in laparoscopic surgery for middle-low rectal cancer

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