6533b81ffe1ef96bd1276fd9

RESEARCH PRODUCT

A Roadmap to the Pelvic Autonomic Nerves During Transanal Dissection

Werner Kneist

subject

medicine.medical_specialtyDissectionNerve sparingAutonomic nervebusiness.industrymedicineTransanal approachNerve injurymedicine.symptombusinessSurgical trainingTotal mesorectal excisionSurgery

description

Current international guidelines and consensus panels emphasize that nerve sparing is a crucial part of the total mesorectal excision (TME). The transanal approach (taTME) could be advantageous in this regard. However, even with taTME, pelvic autonomic nerve preservation requires perfect knowledge of the topographic and morphological aspects of the anatomy and requires surgeons to acquire specific skills. Unusual surgical topography presents a considerable risk of nerve injury, when attempting a TME with the “bottom-up” approach.

yearjournalcountryeditionlanguage
2019-01-01
https://doi.org/10.1007/978-3-030-11572-2_32