Application status and progress of intraoperative nerve monitoring in pelvic autonomic nerve preserving radical resection of rectal cancer
10.3760/cma.j.cn441530-20221212-00520
- VernacularTitle:保留盆腔自主神经的直肠癌根治术研究进展
- Author:
Wanqing CUI
1
;
Qiongxiang HU
;
Fei ZHANG
;
Chungen XING
;
Yongyou WU
;
Kui ZHAO
Author Information
1. 苏州大学附属第二医院胃肠外科，苏州 215004
- Keywords:
Rectal neoplasms;
Pelvic autonomic nerve;
Postoperative pelvic organ dysfunction;
Intraoperative nerve monitoring
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(12):1202-1209
- CountryChina
- Language:Chinese
-
Abstract:
The current treatment strategy for rectal cancer is a comprehensive treatment centered on surgery. The application of total mesorectal excision (TME) has significantly reduced the local recurrence rate and improved the survival prognosis, but a series of pelvic organ dysfunction caused by pelvic autonomic nerve injury during the operation will reduce the postoperative quality of life of patients. Pelvic autonomic nerve preserving (PANP) radical proctectomy has emerged, but the biggest challenge in the implementation process of this technology is the accurate identification of nerves. A series of studies have shown that pelvic intraoperative autonomic monitoring (pIONM) can effectively assist surgeons to identify nerves, The purpose of this article is to introduce the function of pelvic autonomic nerve, the clinical manifestation of postoperative pelvic dysfunction and its relationship with nerve injury, the key points of implementing PANP, and the current situation and research progress of pIONM technology application.
