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Secondarily retroperitoneal, meaning the structures initially were suspended in mesentery and later migrated behind the peritoneum during development [3] the duodenum, except for the proximal first segment, which is intraperitoneal [4] ascending and descending portions of the colon (but not the transverse colon, sigmoid and the cecum)
This is the region where para-aortic and paracaval lymphadenectomies are done. The lateral boundary of the retroperitoneum is defined by the ascending and descending colon. The retroperitoneum can be approached from above by moving the duodenum aside as far as the major renal blood vessels. [2]
The intraperitoneal regions include most of the stomach, first part of the duodenum, all of the small intestine, caecum and appendix, transverse colon, sigmoid colon and rectum. In these sections of the gut there is clear boundary between the gut and the surrounding tissue. These parts of the tract have a mesentery.
The transverse colon is the part of the colon from the hepatic flexure, also known as the right colic, (the turn of the colon by the liver) to the splenic flexure also known as the left colic, (the turn of the colon by the spleen). The transverse colon hangs off the stomach, attached to it by a large fold of peritoneum called the greater omentum.
These include most of the stomach, first part of the duodenum, all of the small intestine, caecum and appendix, transverse colon, sigmoid colon and rectum. In these sections of the gut, there is a clear boundary between the gut and the surrounding tissue. These parts of the tract have a mesentery. Retroperitoneal parts are covered with ...
Retroperitoneal ( or Extraperitoneal ) Infraperitoneal / Subperitoneal: Stomach, half of the first part of the duodenum [2.2 cm], jejunum, ileum, cecum, appendix, transverse colon, sigmoid colon, rectum (upper 1/3) The rest of the duodenum, ascending colon, descending colon, rectum (middle 1/3) Rectum (lower 1/3) Spleen, pancreas (only tail) Liver
retroperitoneal organs are covered in adventitia (loose connective tissue) In the gastrointestinal tract , the muscular layer is bounded in most cases by serosa. However, at the oral cavity , thoracic esophagus , ascending colon , descending colon and the rectum , the muscular layer is instead bounded by adventitia.
The ascending colon is smaller in calibre than the cecum from where it starts. It passes upward, opposite the colic valve, to the under surface of the right lobe of the liver, on the right of the gall-bladder, where it is lodged in a shallow depression, the colic impression; here it bends abruptly forward and to the left, forming the right colic flexure (hepatic) where it becomes the ...