The assessment of curative effect after total mesorectal excision with autonomic nerve preservation for rectal cancer.
- Author:
Jian-ping WANG
1
;
Mei-jin HUANG
;
Xin-ming SONG
;
Yi-hua HUANG
;
Ping LAN
;
Guan-fu CAI
;
Jun ZHOU
;
Yuan-zhi TANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Autonomic Nervous System; injuries; Follow-Up Studies; Humans; Male; Mesentery; surgery; Middle Aged; Neoplasm Recurrence, Local; prevention & control; Postoperative Complications; prevention & control; Rectal Neoplasms; mortality; surgery; Retrospective Studies; Sexual Dysfunction, Physiological; etiology; prevention & control; Survival Rate; Treatment Outcome
- From: Chinese Journal of Surgery 2005;43(23):1500-1502
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the impact on sexual function, local recurrence and survival after total mesorectal excision (TME) with autonomic nerve preservation (PANP) of rectal cancer.
METHODSOne hundred and five patients after TME with PANP were followed by means of questionnaire on postoperative genital function [TME + PANP(+) group], and the results of 110 patients after TME without PANP [TME + PANP(-) group] were compared with, also their local recurrence and 5-year survival were retrospectively analyzed.
RESULTSTME + PANP(+) group was compared to TME + PANP(-) group: the erection dysfunction, 33.3% vs 63.2%; the ejaculation dysfunction, 43.8% vs 70.0% (P < 0.01), there were significant differences between two groups, but no difference in local recurrent rate and 5-year survival rate (7.6% vs 5.5%; 63.4% vs 59.7%, P > 0.05).
CONCLUSIONThe TME with PANP of rectal surgery ensure the radical cure of rectal cancer, at the same time reasonably save the postoperative sexual function and obtain satisfactory postoperative survival.
