Current research status on pelvic autonomic nerve monitoring in rectal cancer surgery.
10.3760/cma.j.cn441530-20210324-00130
- Author:
Xi Yue HU
1
;
Zheng JIANG
1
;
Ming Guang ZHANG
1
;
Xi Shan WANG
1
Author Information
1. Department of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
- Publication Type:Review
- Keywords:
Intraoperative neuromonitoring;
Pelvic autonomic nerve preservation;
Rectal neoplasms;
Total mesorectal excision
- MeSH:
Autonomic Pathways;
Humans;
Pelvis/surgery*;
Quality of Life;
Rectal Neoplasms/surgery*;
Rectum/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(1):82-88
- CountryChina
- Language:Chinese
-
Abstract:
Rectal cancer is a common malignant tumor of the digestive tract, and surgery is the main treatment strategy. Disorders of bowel, anorectal and urogenital function remain common problems after total mesorectal resection (TME), which seriously decreases the quality of life of patients. Surgical nerve damage is one of the main causes of the complications, while TME with pelvic autonomic nerve preservation is an effective way to reduce the occurrence of adverse outcomes. Intraoperative nerve monitoring (IONM) is a promising method to assist the surgeon to identify and protect the pelvic autonomic nerves. Nevertheless, the monitoring methods and technical standards vary, and the clinical use of IONM is still limited. This review aims to summarize the researches on IONM in rectal and pelvic surgery. The electrical nerve stimulation technique and different methods of IONM in rectal cancer surgery are introduced. Also, the authors discuss the limitations of current researches, including methodological disunity and lack of equipment, then prospect the future direction in this field.
