6533b831fe1ef96bd1298ce5

RESEARCH PRODUCT

Pelvic Autonomic Nerve Preservation during Total Mesorectal Excision (TME) from Werner Kneist

Werner Kneist

subject

medicine.medical_specialtyAutonomic nervePelvic floorColorectal cancerbusiness.industryRectumHypogastric Plexusmedicine.diseaseTotal mesorectal excisionSurgerymedicine.nervemedicine.anatomical_structuremedicineSuperior hypogastric plexusRadical surgerybusiness

description

According to the German guideline for “Colorectal Cancer,” total mesorectal excision (TME) removes the cancer located at the central and lower thirds of the rectum and the pelvic floor while preserving the superior hypogastric plexus (SHP), the hypogastric nerves, and the inferior hypogastric plexus (IHP) (recommendation level A, level of evidence 1b, strong consensus). Intraoperative nerve damage is to be avoided to preserve postoperative quality of life with the premise of radical surgery. It is particularly necessary to preserve autonomously controlled urogenital and anorectal functions. Among other things, this presumes a fundamental understanding of current events on surgical topography, neuroanatomy, and neurophysiology.

yearjournalcountryeditionlanguage
2017-01-01
https://doi.org/10.1007/978-3-662-49878-1_50