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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]
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)
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 ...
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.
The following 28 pages use this file: Appendicitis; Appendix (anatomy) Axial twist theory; Diarrhea; Distal intestinal obstruction syndrome; Duodenum; Esophagus
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.
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
A less obvious medial paracolic gutter may be formed, especially on the right side, if the colon possesses a short mesentery for part of its length. The right (lateral) paracolic gutter runs from the superiolateral aspect of the hepatic flexure of the colon, down the lateral aspect of the ascending colon, and around the cecum.