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Clin Colon Rectal Surg 2002; 15(1): 035-042
DOI: 10.1055/s-2002-23566
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Autonomic Nerve Preservation During Pelvic Dissection for Rectal Cancer

L. Ruo, Jesco Pfitzenmaier, J. G. Guillem
  • Colorectal Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, NY, NY
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Publication History

Publication Date:
03 April 2002 (online)

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ABSTRACT

Autonomic nerve preservation (ANP) during rectal cancer resection is based upon a comprehensive understanding of pelvic surgical anatomy and the effects of nerve injury on genitourinary dysfunction. Techniques that combine ANP with radical rectal cancer resection developed over the last 20 years have reduced the risk of sexual and bladder dysfunction without compromising oncologic results. In this article, a detailed description of the operative techniques currently employed is highlighted by comments and figures of the pertinent pelvic anatomy. The results of genitourinary function subsequent to nerve-preserving rectal cancer surgery are also presented.

KEYWORD

Autonomic nerve preservation - rectal cancer - genitourinary function

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