Layer by Layer: The Anatomical ‘Onion Peel’ Approach to Surgery Beyond Total Mesorectal Excision

Key Points

• To offer colorectal surgeons innovative insights into the anatomy of the mesorectal envelope and operative techniques.
• Overview of mesorectal anatomy
• Introduction of dissection planes beyond total mesorectal excision
• Operative strategies presented for safe dissection
• Novel insights into mesorectal anatomy provided
• New techniques to enhance dissection safety identified
• Potential for improved surgical outcomes emphasized

Abstract