The anatomy of pelvic autonomic nerves and experience on preserving autonomous nerves during surgery of rectal cancer
- VernacularTitle:盆腔自主神经的解剖学研究及直肠癌手术保留神经的体会
- Author:
Dongsong BI
;
Zutao JIN
;
Jingzhong SUN
;
Qizhen WEI
;
Qingdong ZENG
;
Yong DAI
;
Zhaoting LI
- Publication Type:Journal Article
- Keywords:
Autonomic pathways;
KG1Colorectal neoplasms;
Anatomy;
KG1Surgical procedures,operativeJPHJHK
- From:
Chinese Journal of General Surgery
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the anatomy of pelvic autonomic nerves, to avoid autonomic nerves damage during rectal cancer surgery. MethodsAnatomical dissections were carried out on 7 adult cadavers, and clinically autonomic nerve-preserving rectal cancer resection was performed. Results The superior hypogastric plexus lies just posterior to the inferior mesenteric vessels. There were no obvious autonomic nerve trunks in the loose areolar tissue plane between the parietal fascia and the visceral fascia right posterior to the rectum. There were no obvious autonomic nerve trunks between the rectum and the seminal vesicles or the prostate. The inferior hypogastric plexus was a rhomboid shaped plaque of nervous tissue. The main components of the lateral ligament were autonomic nerves passing from the pelvic plexus to the rectum within a condensation of connective tissue. WT5”HZConclusionsThe inferior mesenteric vessels can be used a landmark intraoperatively to identify the superior hypogastric plexus. In order to preserve the inferior hypogastric plexus while dissecting the lateral of rectum, we should dissect along the medial surface of the inferior hypogastric plexus, and along its curvature. JP2
