Skip to main content
SpringerLink
Log in

From anatomy to laparoscopic surgery, or how to reconcile surgeons to embryology

  • Anatomic Bases of Medical, Radiological and Surgical Techniques
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

With the development of laparoscopy, new surgical techniques for colon resection were required. New anatomic plans of dissection were described for laparoscopic technique (medial to lateral approach) and the surgeons had to learn a complete different anatomy known as “laparoscopic anatomy”. To help the surgeon through the milestones of laparoscopic colon resection, we propose an embryological and anatomical analysis of the changes of the colon and peritoneum during the foetal period to highlight the laparoscopic approach and surgical landmarks.

Methods

Seventeen human foetuses, age ranged from 7½ to 33 weeks were studied by dissections and histology. Three adult cadavers underwent laparoscopic colon surgery.

Results

Photographic representations of surgical views are displayed, and detailed descriptions applicable to anatomical structures are presented.

Conclusion

Understanding the changes in the colon and peritoneum morphology leads to a clarification of the surgical technique for laparoscopic colon surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Couinaud C (1963) Anatomie de l’Abdomen. In: Douin (ed.), Tome I, Paris, pp 289–346

  2. Domergue J, Fabre JM, Castorina S (2001) Colectomies pour maladie diverticulaire. Encycl Méd Chir. Techniques chirurgicales—Appareil digestif. Scientifiques et Médicales Elsevier SAS, Paris, pp 14, 540–580

  3. Gallot D (2006) Anatomie chirurgicale du côlon. EMC, Techniques chirurgicales—Appareil digestif. Elsevier SAS, Paris, pp 40, 15–535

    Google Scholar 

  4. Hureau J, Pradel J, Agoussou-Voyeme AK (1991) Les espaces interpariétaux péritonéaux postérieurs ou espaces retro-peritoneaux; Anatomie topographique normale. J Radiol 72, 101–111 and 205–227

  5. Jacobs M, Verdeja JC, Goldstein HS (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1(3):144–150

    CAS  PubMed  Google Scholar 

  6. Juo YY, Hyder O, Haider AH, Camp M, Lidor A, Ahuja N (2014) Is minimally invasive colon resection better than traditional approaches? First comprehensive national examination with propensity score matching. JAMA Surg 149(2):177–184

    Article  PubMed Central  PubMed  Google Scholar 

  7. Kawahara H, Hirai K, Watanabe K et al (2005) New approach for laparoscopic surgery of the right colon. Dig Surg 22:50–52

    Article  PubMed  Google Scholar 

  8. Kim J, Edwards E, Bowne W, Castro A, Moon V, Gadangi P, Ferzli G (2007) Medial-to-lateral laparoscopic colon resection: a view beyond the learning curve. Surg Endosc 21:1503–1507

    Article  CAS  PubMed  Google Scholar 

  9. Lee SW, Garrett KA, Shin JH, Trencheva K, Sonoda T, Milsom JW (2013) Dynamic article: long-term outcomes of patients undergoing combined endolaparoscopic surgery for benign colon polyps. Dis Colon Rectum 56(7):869–873

    Article  PubMed  Google Scholar 

  10. Mandarim-De-Lacerda CA (1990) Foot length growth related to crow-rump length, gestational age and weight in human staged fresh fetuses. An index for anatomical and medical use. Surg Rad Anat 12:103–107

    Article  CAS  Google Scholar 

  11. Pigazzi A, Hellan M, Ewing DR, Paz BI, Ballantyne GH (2007) Laparoscopic medial-to-lateral colon dissection: how and why. J Gastrointest Surg 11:778–782

    Article  PubMed  Google Scholar 

  12. Poon JT, Law WL, Fan JK, Lo OS (2009) Impact of the standardized medial-to-lateral approach on outcome of laparoscopic colorectal resection. World J Surg 33:2177–2182

    Article  PubMed  Google Scholar 

  13. Sakka M (1973) Sur trios principes méthodologiques concernant la recherché en anatomie comparée. CR Acad Sci Paris 277:865–868

    CAS  Google Scholar 

  14. Sakka M (1991) Les origines de l’homme: un autre regard. Messidor Ed, Paris

    Google Scholar 

Download references

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Service Chirurgie Viscérale et Endocrinienne, CHU Poitiers, Université de Poitiers, 2 rue de la Miletrie, BP 577, 86021, Poitiers Cedex, France

    M. L. Barussaud, J. Danion, M. Castagnet, J. P. Richer & J. P. Faure

  2. Laboratoire Anatomie, Université de Poitiers, 6 rue de la Miletrie, BP 199, 86034, Poitiers Cedex, France

    J. Danion, J. P. Richer & J. P. Faure

Authors
  1. M. L. Barussaud
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Danion
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Castagnet
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. P. Richer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. P. Faure
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. P. Faure.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Barussaud, M.L., Danion, J., Castagnet, M. et al. From anatomy to laparoscopic surgery, or how to reconcile surgeons to embryology. Surg Radiol Anat 37, 393–398 (2015). https://doi.org/10.1007/s00276-014-1373-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-014-1373-8

Keywords

Search

Navigation