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Prinzipien und Technik der Rektumresektion unter Berücksichtigung der chirurgischen Anatomie

  • Markus von Flüe
  • Felix Harder

Zusammenfassung

Das Anorektum liegt anatomisch weitgehend extraperitoneal und geht kaudal fließend in eine dynamische trichterförmige Muskelplatte (Levator) über, welche perineal durch eine zweite plane Muskelplatte (Perineum) abgedeckt wird. Rektales Fettgewebe und intrapelvine Gefäß-Nerven-Strukturen werden durch dünne Faszienschichten überzogen, welche aneinander haften und dem Chirurgen als Leitstrukturen zum Auffinden der richtigen Dissektionsebene dienen. Zudem bieten diese Faszien natürliche Grenzen gegen die Tumorausbreitung. Die exakte Kenntnis dieser Schichten erlaubt eine blutarme Dissektion, ohne perioperativen Transfusionsbedarf, mit minimalem Operationsrisiko.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • Markus von Flüe
    • 1
  • Felix Harder
    • 1
  1. 1.Allgemeinchirurgische Klinik, Departement Chirurgie der Universität BaselKantonsspital BaselBaselSchweiz

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