Stellenwert des intraoperativen Neuromonitorings in der roboterassistierten Rektumchirurgie

Einleitung

Durch die Einführung der totalen mesorektalen Exzision sowie der Implementierung multimodaler neoadjuvanter Therapiestrategien hat sich die Prognose des Rektumkarzinoms erheblich verbessert. Entsprechend ist die postoperative Lebensqualität vermehrt in den Vordergrund gerückt. Viele Patienten klagen über postoperative Störungen der Schließmuskel-, Blasen- und Sexualfunktion. Daher besteht eine große Notwendigkeit, die chirurgischen Therapieverfahren diesbezüglich weiter zu verbessern. Eine mögliche Option zur Optimierung der funktionellen Ergebnisse ist die Kombination der roboterassistierten Rektumchirurgie mit einem intraoperativen Monitoring der autonomen pelvinen Nerven.

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