Revisiting Toldt fascia through robotic top-down and medial-to-lateral approaches – a video vignette
Journal
Colorectal Disease
Journal Volume
20
Journal Issue
3
Pages
263-264
Date Issued
2018
Author(s)
Abstract
In this video (Toldt fascia.wmv), we demonstrated anatomic features of Toldt fascia, based on the meticulous dissection and high-resolution images inherent in robotic surgery. Toldt fascia is sandwiched by the overlying mesothelial layer of the mesocolon and underlying mesothelial layer of the retroperitoneum, comprised loose fibrous tissues with minute vessels inside, and is contiguous from the ileocecal mesentery radix to the upper rectum. The medial-to-lateral surgical dissection plane is readily developed within the Toldt fascia; however, any attempt to dissect along the interface between Toldt fascia and the overlying mesocolon or underlying retroperitoneum failed. This article is protected by copyright. All rights reserved.
SDGs
Publisher
Blackwell Publishing Ltd
Type
letter