Pelvic autonomic nerve preservation in rectal cancer: anatomical concept and clinical significance.
10.3760/cma.j.cn441530-20221123-00489
- Author:
Z C ZHAI
1
;
W G ZHANG
2
;
J GU
3
Author Information
1. Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China.
2. Department of Human Anatomy, School of Basic Medical Sciences, Peking University, Beijing 100191, China.
3. Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing 100142, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Male;
Clinical Relevance;
Quality of Life;
Autonomic Pathways/surgery*;
Rectal Neoplasms/surgery*;
Pelvis/innervation*
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(1):68-74
- CountryChina
- Language:Chinese
-
Abstract:
Colorectal cancer is one of the most common cancers in the world, and surgery is the mainstage treatment. Urogenital and sexual dysfunction after radical resection of rectal cancer has become an important problem for patients, which seriously affects the quality of life. Some patients give up radical surgery for rectal cancer because of the concerns about sexual and urinary dysfunction. The cause of this problem is intraoperative of injury pelvic autonomic nerve. The preservation of the hypogastric nerve during the surgery is important for the male ejaculation. Pelvic splanchnic nerves are mainly responsible for the male erection. The anatomical origin, distribution, and urogenital function of these two nerves are detailed described in this article. At the same time, this article introduces the classification, key points of the operation and the evaluation of autonomic nerve preservation surgery. With the rapid development of minimally invasive surgery, performing radical surgery for rectal cancer is important, we also need to fully understand the anatomical concept of pelvic autonomic nerves, and apply modern minimally invasive surgical techniques to preserve the patient's pelvic autonomic nerves as well. It is an compulsory course and an important manifestation for the standardization of rectal cancer surgery.
