%0 Journal Article
%T Female near-TME: standardization of proctectomy in women with ulcerative colitis.
%A Ferrer-Inaebnit E
%A Jeri McFarlene S
%A García-Granero García-Fuster A
%A González Argenté X
%J Cir Esp (Engl Ed)
%V 102
%N 1
%D 2024 Jan 11
%M 37956717
暂无%R 10.1016/j.cireng.2023.11.005
%X Traditionally, 2 surgical techniques for proctectomy in ulcerative colitis have been used: total mesorectal excision (TME), and close rectal dissection (CRD). Recently, our research group has proposed the standardization of the Near-TME technique, which unites the advantages of both methods. It decreases the risk of pelvic autonomic nerve injury and reduces the volume of mesorectal remnant. When performing the Near-TME, the anatomical landmarks differ between men and women, especially in the anterolateral hemicircumference. The objective of this paper is to standardize the Near-TME technique in women (Female Near-TME) using characteristic surgical-anatomic landmarks of the female pelvis based on illustrations and a real case treated laparoscopically. This technique should be carried out by surgeons with experience in inflammatory bowel disease surgery and extensive knowledge of surgical anatomy.