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Clinical anatomic study and embryological study of the pelvic outlet muscles

Research Project

Project/Area Number 23590216
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field General anatomy (including Histology/Embryology)
Research InstitutionTokyo Medical and Dental University

Principal Investigator

AKITA Keiichi  東京医科歯科大学, 医歯(薬)学総合研究科, 教授 (80231819)

Co-Investigator(Kenkyū-buntansha) YAMAGUCHI Kumiko  東京医科歯科大学, 医歯学融合教育支援センター, 講師 (90376799)
NIMURA Akimoto  東京医科歯科大学, 大学院医歯学総合研究科, 講師 (40622098)
HARADA Masayo  東京医科歯科大学, 大学院医歯学総合研究科, 助教 (80555756)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2011: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords解剖学 / 臨床解剖学 / 発生学 / 大腸肛門外科学 / 画像診断学 / 骨盤出口筋 / 直腸縦走筋 / 内外肛門括約筋 / 内肛門括約筋 / 外肛門括約筋 / 球海綿体筋
Research Abstract

With the development of clinical devices and skills in anorectal region, detailed anatomical information is required in these days. We performed detailed gloss anatomical research and compared with the images of ultrasound, and magnetic resonance imaging. We also performed histological analyses with muscles and connective tissue surrounding the anal canal. Histological analyses were also performed with mouse embryos to add the information concerning developmental processes.
From these observations, we revealed the importance of longitudinal smooth muscle layer of the anal canal in human. The longitudinal muscle layer penetrated the external anal sphincter muscle. This structure is not observed in mice, and thought to be unique in human. After urorectal septum descend to separate the urogenital sinus and anorectal canal, it grew anteriorly, and contributed to the median raphe of external genitalia such as raphe of scrotum.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (62 results)

All 2014 2013 2012 2011 Other

All Journal Article (10 results) (of which Peer Reviewed: 6 results,  Open Access: 1 results) Presentation (48 results) (of which Invited: 3 results) Book (3 results) Remarks (1 results)

  • [Journal Article] Disruption of the temporally regulated cloaca endodermal β-catenin signaling causes anorectal malformations2014

    • Author(s)
      Miyagawa S, Harada M, Matsumaru D, Tanaka K, Inoue C, Nakahara C, Haraguchi R, Matsushita S, Suzuki K, Nakagata N, Ng RC, Akita K, Lui VC, Yamada G.
    • Journal Title

      Cell Death Differ.

      Volume: 21 Issue: 6 Pages: 990-997

    • DOI

      10.1038/cdd.2014.21

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Hip dysfunction-related urinary incontinence: A prospective analysis of 189 female patients undergoing total hip arthroplasty2014

    • Author(s)
      Tamaki T, Oinuma K, Shiratsuchi H, Akita K, Iida S.
    • Journal Title

      Int J Urol.

      Volume: Mar 4 Issue: 7 Pages: 729-731

    • DOI

      10.1111/iju.12404

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Dynamic intersection of the longitudinal muscle and external anal sphincter in the layered structure of the anal canal posterior wall2013

    • Author(s)
      Muro S, Yamaguchi K, Nakajima Y, Watanabe K, Harada M, Nimura A, Akita K
    • Journal Title

      Surg Radiol Anat

    • URL

      http://link.springer.com/article/10.1007%2Fs00276-013-1228-8

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Anorectal transplantation in human cadavers : mock anorectal allotransplantatian2013

    • Author(s)
      Araki J, Nishizawa Y, Sato T, Naito M, Akita K, Tashiro K, Iida T, Koshirna I
    • Journal Title

      PLoS ONE

      Volume: 8(7) Issue: 7 Pages: e68977-e68977

    • DOI

      10.1371/journal.pone.0068977

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 女性骨盤底の局所解剖学―女性骨盤器脱の機序を理解するために2013

    • Author(s)
      秋田恵一、加藤友康、加川隆三郎
    • Journal Title

      臨床婦人科産科

      Volume: 67巻、3号 Pages: 336-341

    • Related Report
      2013 Final Research Report
  • [Journal Article] 外科= Surgey2013

    • Author(s)
      小林宏寿、秋田恵一、杉原健一
    • Journal Title

      臨床雑誌

      Volume: 75巻、13号 Pages: 1433-1437

    • Related Report
      2013 Final Research Report
  • [Journal Article] Dynamic intersection of the longitudinal muscle and external anal sphincter in the layered structure of the anal canal posterior wall2013

    • Author(s)
      Muro S, Yamaguchi K, Nakajima Y, Watanabe K, Harada M, Nimura A, Akita K.
    • Journal Title

      Surg Radiol Anat.

      Volume: Nov 21 Issue: 6 Pages: 551-559

    • DOI

      10.1007/s00276-013-1228-8

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 女性骨盤底の局所解剖学―女性骨盤器脱の機序を理解するために2013

    • Author(s)
      秋田恵一,加藤友康,加川隆三郎
    • Journal Title

      臨床婦人科産科

      Volume: 第67巻 第3号 Pages: 336-341

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 直腸癌におけるリンパ流の局所解剖 (特集 直腸癌側方リンパ節転移のすべて)2013

    • Author(s)
      小林 宏寿 , 秋田 恵一 , 杉原 健一
    • Journal Title

      外科 = Surgey : 臨床雑誌

      Volume: 第75巻 第13号 Pages: 1433-1437

    • NAID

      40019882484

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Origins and distribution of nerves to the female urinary bladder : new anatomical findings in the sex differences2011

    • Author(s)
      Yamaguchi K, Kobayashi M, Kato T, Akita K
    • Journal Title

      Clin Anat

      Volume: 24(7) Issue: 7 Pages: 880-5

    • DOI

      10.1002/ca.21186

    • Related Report
      2013 Final Research Report 2011 Research-status Report
    • Peer Reviewed
  • [Presentation] 肛門から直腸の形成2014

    • Author(s)
      秋田恵一
    • Organizer
      第15回Update on Colorectal Cancer Surgery
    • Place of Presentation
      東京
    • Year and Date
      2014-02-28
    • Related Report
      2013 Final Research Report
  • [Presentation] 肛門管とそれを支える構造について2014

    • Author(s)
      秋田恵一
    • Organizer
      第5回臨床肛門病研究会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2014-02-09
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] 骨盤内臓を支える構造について2014

    • Author(s)
      秋田恵一
    • Organizer
      第1回Pelvic Floor Urological Meeting
    • Place of Presentation
      東京
    • Year and Date
      2014-01-24
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] 肛門から直腸の形成2014

    • Author(s)
      秋田恵一
    • Organizer
      第15回UCCS (Update on Colorectal Cancer Surgery)
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 骨盤の解剖の新しい知見と視点2013

    • Author(s)
      秋田恵一
    • Organizer
      第25回みなと泌尿器カンファレンス
    • Place of Presentation
      東京
    • Year and Date
      2013-06-20
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] 骨盤出口筋と周囲構造の再検討とくに直腸縦走筋との関係2013

    • Author(s)
      秋田恵一
    • Organizer
      第26回大腸外科検討会
    • Place of Presentation
      東京
    • Year and Date
      2013-04-06
    • Related Report
      2013 Final Research Report
  • [Presentation] 人工股関節手術前後における女性の尿失禁症状の変化について2013

    • Author(s)
      奥村敬子、田巻達也、老沼和弘、白土英明、巴ひかる、秋田恵一
    • Organizer
      第40回日本股関節学会
    • Place of Presentation
      広島
    • Related Report
      2013 Final Research Report
  • [Presentation] 人工股関節置換手術が尿失禁に与える影響についての検討~人工股関節置換術前後での尿失禁症状の変化~2013

    • Author(s)
      奥村敬子、田巻達也、老沼和弘、白土英明、巴ひかる、秋田恵一
    • Organizer
      第20回日本排尿機能学会
    • Place of Presentation
      静岡
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] 人工股関節置換術手術が尿失禁に与える影響についての検討2013

    • Author(s)
      奥村敬子、田巻達也、老沼和弘、白土英明、巴ひかる、秋田恵一
    • Organizer
      第15回日本女性骨盤底医学会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] Spatial arrangements of the muscle layers of the posterior wall of anal canal2013

    • Author(s)
      Akita K, Muro S, Watanabe K, Yamaguchi K, Nakajima Y, Harada M
    • Organizer
      European Joint Congress of Clinical Anatomy 2013
    • Place of Presentation
      Lisbon
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] Spatial distribution of muscles around anal canal in mice2013

    • Author(s)
      Yamaguchi K, Mikami T, Akita K
    • Organizer
      European Joint Congress of Clinical Anatomy 2013
    • Place of Presentation
      Lisbon
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] Morphalogy of the perineal skeletal muscle revisited2013

    • Author(s)
      Akita K, Yamaguchi K, Muro S, Watanabe K, Harada M
    • Organizer
      5th international Symposion of Clinical and Applied Anatomy/ 1st Paneuropean Meeting of Anatomists
    • Place of Presentation
      Graz
    • Related Report
      2013 Final Research Report
  • [Presentation] Three dimensional analyses of the spinal arachnoidal villi2013

    • Author(s)
      Yamaguchi K, Mikami T, Akita K
    • Organizer
      5th international Symposion of Clinical and Applied Anatomy/ 1st Paneuropean Meeting of Anatomists
    • Place of Presentation
      Graz
    • Related Report
      2013 Final Research Report
  • [Presentation] 人工股関節置換術手術前後における女性の尿失禁症状のへんかについて2013

    • Author(s)
      奥村敬子、 田巻達也、 老沼和弘、 白土英明、 巴ひかる、 秋田恵一
    • Organizer
      第40回日本股関節学会
    • Place of Presentation
      広島
    • Related Report
      2013 Annual Research Report
  • [Presentation] Effect of total hip arthroplasty on urinary incontinence2013

    • Author(s)
      Okumura K, Tamaki T, Oinuma K, Shiratsuchi H, Tomoe H, Akita K.
    • Organizer
      IUGA 38th Annual Meeting 2013
    • Place of Presentation
      Dubrin
    • Related Report
      2013 Annual Research Report
  • [Presentation] Morphalogy of the perineal skeletal muscle revisited2013

    • Author(s)
      Akita K, Yamaguchi K, Muro S, Watanabe K, Harada M.
    • Organizer
      5th International Symposion of Clinical and Applied Anatomy/ 1st Paneuropean Meeting of Anatomists
    • Place of Presentation
      Graz
    • Related Report
      2013 Annual Research Report
  • [Presentation] 直腸下部ならびに肛門周囲の構造について:骨盤出口筋の臨床解剖2013

    • Author(s)
      秋田恵一
    • Organizer
      第86回日本整形外科学会学術総会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 骨盤出口筋と周囲構造の再検討 とくに直腸縦走筋との関係2013

    • Author(s)
      秋田恵一
    • Organizer
      第26回大腸外科検討会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 後腹膜腔内へ進展したcotyledonoid leiomyomaの1例2012

    • Author(s)
      加藤友康、林(芝)奈津子、山口久美子、秋田恵一
    • Organizer
      第16回臨床解剖研究会
    • Place of Presentation
      名古屋
    • Year and Date
      2012-09-08
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 手術のための骨盤解剖2012

    • Author(s)
      秋田恵一
    • Organizer
      国立国際医療センター外科主催セミナー
    • Place of Presentation
      東京
    • Year and Date
      2012-09-05
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 骨盤底を学ぶ2012

    • Author(s)
      秋田恵一
    • Organizer
      第22回骨盤外科機能温存研究会
    • Place of Presentation
      東京
    • Year and Date
      2012-06-23
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 尿管下腹筋膜に注目した膀胱子宮靭帯の外科解剖2012

    • Author(s)
      加藤友康、戸上真一、山本良平、山口久美子、秋田恵一
    • Organizer
      第22回骨盤外科機能温存研究会
    • Place of Presentation
      東京
    • Year and Date
      2012-06-23
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] Morphology of anal sphincter muscle in females and superficial transverse perineal muscle route of anal fistulae specific to females2012

    • Author(s)
      Kagawa R, Akita K
    • Organizer
      The 1st Congress of the Asian Association of Clinical Anatomists
    • Place of Presentation
      Busan
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 女性の膀胱における神経分布の解剖学的研究2012

    • Author(s)
      山口久美子、山本良平、加藤友康、秋田恵一
    • Organizer
      第35回日本産婦人科手術学会
    • Place of Presentation
      京都
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 尿管膀胱移行部に分布する自律神経の外科解剖2012

    • Author(s)
      加藤友康、戸上真一、山口久美子、秋田恵一
    • Organizer
      第52回日本婦人科腫瘍学会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] 男と女:形の違いの研究の進歩2011

    • Author(s)
      秋田恵一
    • Organizer
      第13回TTSファミリー記念会
    • Place of Presentation
      名古屋
    • Year and Date
      2011-12-25
    • Related Report
      2013 Final Research Report
  • [Presentation] 解剖学的観点から見た股関節手術の影響2011

    • Author(s)
      秋田恵一
    • Organizer
      第50回東京股関節研究会
    • Place of Presentation
      東京
    • Year and Date
      2011-11-25
    • Related Report
      2013 Final Research Report
  • [Presentation] 肛門管の発生と骨盤出口筋の形態の再考2011

    • Author(s)
      秋田恵一
    • Organizer
      第43回東海肛門疾患懇談会
    • Place of Presentation
      浜松
    • Year and Date
      2011-11-05
    • Related Report
      2013 Final Research Report
  • [Presentation] 男女の会陰筋群の解剖学的再検討2011

    • Author(s)
      秋田恵一、加川隆三郎、山口久美子、宮川哲平、福与涼介、加藤友康
    • Organizer
      第21回骨盤外科機能温存研究会
    • Place of Presentation
      神戸
    • Year and Date
      2011-06-18
    • Related Report
      2013 Final Research Report 2011 Research-status Report
  • [Presentation] 会陰筋群の解剖の再検討による会陰切開における傷害の検討2011

    • Author(s)
      秋田恵一
    • Organizer
      第34回日本産婦人科手術学会学術講演会
    • Place of Presentation
      久留米
    • Related Report
      2013 Final Research Report
  • [Presentation] 骨盤出口筋:男女の違い2011

    • Author(s)
      秋田恵一
    • Organizer
      第66回日本大腸肛門病学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
  • [Presentation] 女性の肛門括約筋の形態と女性に特有な痔瘻の浅会陰横筋経路2011

    • Author(s)
      加川隆三郎、秋田恵一
    • Organizer
      第66回日本大腸肛門病学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report 2011 Research-status Report
  • [Presentation] 大腸及び肛門部病変に対する画像診断の進歩MRIによる痔瘻診断2011

    • Author(s)
      加川隆三郎、秋田恵一
    • Organizer
      第66回日本大腸肛門病学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
  • [Presentation] 男女の骨盤出口筋の解剖の再考2011

    • Author(s)
      秋田恵一、山口久美子、加川隆三郎、加藤友康
    • Organizer
      第22回日本性機能学会学術集会
    • Place of Presentation
      倉敷
    • Related Report
      2013 Final Research Report
  • [Presentation] An anatomical study of the perineal muscles and pelvic outlet muscles2011

    • Author(s)
      Akita K, Yamaguchi K, Miyagawa T, Fukuyo R, Kato T
    • Organizer
      The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      Padova
    • Related Report
      2013 Final Research Report
  • [Presentation] Development of the pelvic floor muscles in mice2011

    • Author(s)
      Yamaguchi K, Nariai R, Mori M, Akita K
    • Organizer
      The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      Padova
    • Related Report
      2013 Final Research Report
  • [Presentation] Course and distribution of pelvic autonomic nerves in the vesicouterine ligament2011

    • Author(s)
      Kato T, Yamaguchi K, Akita K
    • Organizer
      The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      Padova
    • Related Report
      2013 Final Research Report
  • [Presentation] An anatomical study of the courses of deep anal fistulae tracts as analyzed by MRI2011

    • Author(s)
      Kagawa R, Akita K
    • Organizer
      The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      Padova
    • Related Report
      2013 Final Research Report
  • [Presentation] An anatomical study of the perineal muscles and pelvic outlet muscles.2011

    • Author(s)
      Akita K, Yamaguchi K, Miyagawa T, Fukuyo R, Kato T.
    • Organizer
      The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      University of Padova, Italy
    • Related Report
      2011 Research-status Report
  • [Presentation] An anatomical study of the courses of deep anal fistulae tracts as analyzed by MRI.2011

    • Author(s)
      Kagawa R, Akita K.
    • Organizer
      The The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      University of Padova, Italy
    • Related Report
      2011 Research-status Report
  • [Presentation] Course and distribution of pelvic autonomic nerves in the vesicouterine ligament.2011

    • Author(s)
      Kato T, Yamaguchi K, Akita K.
    • Organizer
      The The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      University of Padova, Italy
    • Related Report
      2011 Research-status Report
  • [Presentation] Development of the pelvic floor muscles in mice.2011

    • Author(s)
      Yamaguchi K, Nariai R, Mori M, Akita K.
    • Organizer
      The The 11th scientific congress of the European association of clinical anatomy
    • Place of Presentation
      University of Padova, Italy
    • Related Report
      2011 Research-status Report
  • [Presentation] 大腸及び肛門部病変に対する画像診断の進歩 MRIによる痔瘻診断2011

    • Author(s)
      加川隆三郎, 秋田恵一
    • Organizer
      第66回日本大腸肛門病学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2011 Research-status Report
  • [Presentation] 会陰筋群の解剖の再検討による会陰切開における傷害の検討2011

    • Author(s)
      秋田恵一
    • Organizer
      第34回 日本産婦人科手術学会学術講演会
    • Place of Presentation
      久留米
    • Related Report
      2011 Research-status Report
  • [Presentation] 男女の骨盤出口筋の解剖の再考2011

    • Author(s)
      秋田恵一, 山口久美子, 加川隆三郎, 加藤友康
    • Organizer
      第22回日本性機能学会学術集会(招待講演)
    • Place of Presentation
      倉敷
    • Related Report
      2011 Research-status Report
  • [Presentation] 肛門管の発生と骨盤出口筋の形態の再考2011

    • Author(s)
      秋田恵一
    • Organizer
      第43回東海肛門疾患懇談会(招待講演)
    • Place of Presentation
      浜松
    • Related Report
      2011 Research-status Report
  • [Presentation] 骨盤出口筋:男女の違い2011

    • Author(s)
      秋田恵一
    • Organizer
      第66回日本大腸肛門病学会学術集会(招待講演)
    • Place of Presentation
      東京
    • Related Report
      2011 Research-status Report
  • [Presentation] 男と女:形の違いの研究の進歩2011

    • Author(s)
      秋田恵一
    • Organizer
      第13回 TTSファミリー記念会(招待講演)
    • Place of Presentation
      名古屋
    • Related Report
      2011 Research-status Report
  • [Book] ポケットチューター体表からわかる人体解剖学2014

    • Author(s)
      大川淳、秋田恵一
    • Total Pages
      271
    • Publisher
      南江堂
    • Related Report
      2013 Final Research Report
  • [Book] ポケットチューター 体表からわかる人体解剖学2014

    • Author(s)
      大川淳、秋田恵一
    • Total Pages
      271
    • Publisher
      南江堂
    • Related Report
      2013 Annual Research Report
  • [Book] 大腸肛門病ハンドブック 第2章骨盤内臓の基本的解剖2011

    • Author(s)
      秋田恵一     監修 辻仲康伸
    • Total Pages
      392
    • Publisher
      医学書院
    • Related Report
      2011 Research-status Report
  • [Remarks]

    • URL

      http://www.tmd.ac.jp/grad/fana/index.html

    • Related Report
      2013 Final Research Report

URL: 

Published: 2011-08-05   Modified: 2019-07-29  

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