What question did this study set out to answer?

To offer colorectal surgeons innovative insights into the anatomy of the mesorectal envelope and operative techniques.

April 10, 2026Open Access

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

This paper provides colorectal surgeons with a novel overview of the anatomy surrounding the mesorectal envelope along with simple operative strategies to enter and safely dissect planes beyond TME.

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Authors

Sean S. Davis

Royal Adelaide Hospital

Antonio Barbaro

The University of Adelaide

Zachary Bunjo

Journals

ANZ Journal of Surgery

Actions

Institutions

The University of Adelaide

Royal Adelaide Hospital

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

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

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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