Chirurgische Anatomie und neurophysiologische Parameter zur intraoperativen Identifikation und Funktionsprüfung autonomer Beckennerven bei TME wegen Rektumkarzinom

Introduction The identification and preservation of parasympathetic and sympathetic pelvic nerves is required to avoid urogenital malfunctions after TME for rectal carcinoma. The objective was to determine the surgical topography of the nerves with regard to TME. Neurophysiologiecl parameters for the intraoperative stimulation of the detrusor muscle were assessed in order to establish a functional test for the intraoperative identification of the pelvic autonomic nerves.