[Verse 1]
Right gastric off the proper hepatic, left off the celiac trunk
Short gastricas from the splenic, draw it out don't front
Left gastroepiploic curves along the greater curve below
Right gastroepiploic from gastroduodenal, watch it flow
Watershed sits at Griffith's point, splenic flexure takes the hit
Superior mesenteric meets the inferior — that's the critical split
Sudeck's point at the rectosigmoid junction, blood supply gets thin
Marginal artery of Drummond running parallel within
[Chorus]
Celiac trunk to gastroduodenal, left colic to the SMA
Watersheds at Griffith's and Sudeck's where the perfusion frays
D2 dissection, stations one through twelve and fourteen caught
Fascial planes of Toldt and Holy, nerve preservation fought
Kocher flips the duodenum, Cattell rolls the colon right
Mattox mobilises left, exposing aorta to the knife
[Verse 2]
D2 dissection for distal gastrectomy, JGCA defines the map
Stations one, three, four, five, six along the perigastric wrap
Station seven targets left gastric, eight hits common hepatic trunk
Nine's the celiac axis proper, station eleven anterior and punk
Station twelve is hepatoduodenal ligament, fourteen the SMV
Stations two and ten get spared when distal is the surgery
Memorise by zones — perigastric first, then second echelon sweep
Systematic lymphadenectomy, no station left to sleep
[Chorus]
Celiac trunk to gastroduodenal, left colic to the SMA
Watersheds at Griffith's and Sudeck's where the perfusion frays
D2 dissection, stations one through twelve and fourteen caught
Fascial planes of Toldt and Holy, nerve preservation fought
Kocher flips the duodenum, Cattell rolls the colon right
Mattox mobilises left, exposing aorta to the knife
[Verse 3]
TME requires four fascial layers, know them or you'll bleed
Visceral pelvic fascia wraps the mesorectum like a sheath
Parietal fascia coats the sacrum, Waldeyer's bridges them behind
The Holy plane sits avascular between — that's where you find
Hypogastric nerves descend from the bifurcation at L5
Lateral ligaments harbour the pelvic plexus, keep it alive
Cavernous nerves of Walsh run anterolateral, tip of the prostate near
Inadvertent traction or diathermy — impotence is what you fear
[Bridge]
Three manoeuvres, three exposures, anatomic logic every time
Kocher incises the lateral peritoneum, C-loop crosses the midline
Cattell-Braasch rolls ascending colon and small bowel to the left
Infrarenal aorta and IVC exposed, full retroperitoneal breadth
Mattox is the mirror image, mobilising left-side viscera medial
Aorta from the diaphragm to bifurcation, trauma surgeons call it ritual
Know the planes, respect the nerves, map the vessels to the source
Self-assessment seals the knowledge — test yourself with force