@article{JXYM3945,
author = {Jing-Hua Tang and Pei-Rong Ding},
title = {Autonomic nerve preserving in laparoscopic total mesorectal excision},
journal = {Journal of Xiangya Medicine},
volume = {2},
number = {5},
year = {2017},
keywords = {},
abstract = {Since the introduction of total mesorectum excision and combined modality therapy has dramatically improved the oncologic outcome for the patients with rectal cancer, the quality of functional outcome has been increasingly important. Urogenital dysfunctions due to intraoperative inadvertent pelvic autonomic nerve damage are well-recognized. Pelvic autonomic nerve preservation may be limited and challenged by the anatomical constrains of the curved narrow pelvis. Laparoscopic technology with the advantages of direct illumination and magnification may enable better visualization and facilitate pelvic autonomic nerve preservation. There are a few key zones at risk of nerve injury and a proper surgical technique with step-by-step checklist at the critical points should be carried on. The increased experience with laparoscopic and understanding of the pelvic nerve anatomy may relate to the improving functional outcomes. Here, we discuss the current understanding of anatomy, key zones at risk and tips and tricks of our experience of nerve preservation during the laparoscopic total mesenteric excision (TME).},
issn = {2519-9390}, url = {https://jxym.amegroups.org/article/view/3945}
}