Nerve-sparing Technique in Rectal Cancer

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Rectal Cancer

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Attention to nerve identification in rectal cancer surgery began in Japan in the 1970s, but it was an American surgeon [1, 2] between the 1970s and 1980s who proposed a combination of the nerve-sparing principle with the TME technique. The result was the preservation of urogenital function in 90% of the patients treated, without affecting the oncological outcome. Subsequently, the effectiveness, implementation and safety of the technique were confirmed by Moriya’s group [3], and the long-term functional results were documented by the famous Dutch TME trial.

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References

  1. Hojo K, Vernava A (1991) Preservation of urine voiding and sexual function after rectal cancer surgery. Dis Colon Rectum 34:532–539

    Article  PubMed  CAS  Google Scholar 

  2. Enker WE (1992) Potency, cure, and local control in the operative treatment of rectal cancer. Arch Surg 127:1396–1401

    Article  PubMed  CAS  Google Scholar 

  3. Maas CP, Moriya Y, Steup WH et al (2000) A prospective study on radical and nerve-preserving surgery for rectal cancer in the Netherlands. Eur J Surg Oncol 26:751–757

    Article  PubMed  CAS  Google Scholar 

  4. Celentano V et al (2010) Prospective study of sexual dysfunction in men with rectal cancer: feasibility and results of nerve sparing surgery. Int J Colorectal Dis 25:1441–1445

    Article  PubMed  Google Scholar 

  5. Lindsey I (2000) Anatomy of Denonvilliers’ fascia and pelvic nerves, impotence, and implications for the colorectal surgeon. Br J Surg 87:1288–1299

    Article  PubMed  CAS  Google Scholar 

  6. Sartori C (2011) Urinary and sexual disorders after laparoscopic TME for rectal cancer in males. J Gastrointest Surg 15:637–643

    Article  PubMed  Google Scholar 

  7. Kim et al (2002) Assessment of sexual and voiding function after total mesorectal excision with pelvic autonomic nerve preservation in males with rectal cancer. Dis Colon Rectum 45:1178–1185

    Article  PubMed  Google Scholar 

  8. Song PH et al (2010) Comparison of the erectile function in male patients with rectal cancer treated by preoperative radiotherapy followed by surgery and surgery alone. Int J Colorectal Dis 25:619–624

    Article  PubMed  Google Scholar 

  9. Stamopoulos P et al (2009) Prospective evaluation of sexual function after open and laparo-scopic surgery for rectal cancer. Surg Endosc 23:2665–2674

    Article  PubMed  Google Scholar 

  10. de Calan L, Gayet B, Bourlier P et al (2004) Cancer du rectum: anatomie chirurgicale, preparation à l’intervention, installation du patient. In: Encyclopédie Médico-Chirurgicale 40–606 Editions Scientifiques et Médicales Elseviers, Paris, pp 1–12

    Google Scholar 

  11. Matsuoka N, Moriya Y, Akasu T et al (2001) Long-term outcome of urinary function after extended lymphadenectomy in patients with distal rectal cancer. Eur J Surg Oncol 27:165–169

    Article  PubMed  CAS  Google Scholar 

  12. Moriya Y (2006) Function preservation in rectal cancer surgery. Int J Clin Oncol 11:339–343

    Article  PubMed  Google Scholar 

  13. Nano M et al (2004) Ligation of the Inferior Mesenteric Artery in the surgery of rectal cancer: anatomical considerations. Dig Surg 21:123–127

    Article  PubMed  Google Scholar 

  14. Lange MM, van de Valde CJH (2010) Long-term anorectal and urogenital dysfunction after rectal cancer treatment. Semin Colon Rectal Surg 21:87–l94

    Article  Google Scholar 

  15. Heald RJ et al (2004) Optimal total mesorectal excision for rectal cancer is by dissection in front of Denonvilliers’ fascia. Br J Surg 91:121–123

    Article  PubMed  CAS  Google Scholar 

  16. Kinugasa Y et al (2006) Operating behind Denonvilliers’ fascia for reliable preservation of urogenital autonomic nerves in total mesorectal excision. A histologic study using cadaveric specimens, including a surgical experiment using fresh cadaveric models. Dis Colon Rectum 49:1024–1032

    Article  PubMed  Google Scholar 

  17. Lindsey I et al (2005) Denonvilliers’ fascia lies anterior to the fascia propria and rectal dissection plane in total mesorectal excision. Dis Colon Rectum 48:37–42

    Article  PubMed  Google Scholar 

  18. Da Silva G (2004) The efficacy of a nerve stimulator (Cavermap®) to enhance autonomic nerve identification and confirm nerve preservation during total mesorectal excision. Dis Colon Rectum 47:2032–2038

    Article  PubMed  Google Scholar 

  19. Asoglu O et al (2009) Impact of laparoscopic surgery on bladder and sexual function after total mesorectal excision for rectal cancer. Surg Endosc 23:296–303

    Article  PubMed  Google Scholar 

  20. Breukink SO et al (2005) Laparoscopic versus open total mesorectal excision: a case-control study. Int J colorectal Dis 20:428–433

    Article  PubMed  CAS  Google Scholar 

  21. Morino M, Parini U, Allaix ME et al (2009) Male sexual and urinary function after laparo-scopic total mesorectal excision. Surg Endosc 23:1233–1240

    Article  PubMed  Google Scholar 

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Correspondence to Silvia Palmisano .

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Masaro, S., Palmisano, S., Leon, P., de Manzini, N. (2013). Nerve-sparing Technique in Rectal Cancer. In: de Manzini, N. (eds) Rectal Cancer. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2670-4_8

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  • DOI: https://doi.org/10.1007/978-88-470-2670-4_8

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2669-8

  • Online ISBN: 978-88-470-2670-4

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