Total mesorectal excision and preservation of the pelvic autonomic nerves: Technical tips and pitfall

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

To obtain relevant oncologic outcome and good functional outcome after rectal cancer surgery, total mesorectal excision (TME) with pelvic autonomic nerve (PAN) preservation is essential. Adequate TME with intact mesorectal fascia is very important to achieve clearance of lymphatics; also, avoiding nerve injuries including superior and inferior hypogastric nerves and neurovascular bundles in the pelvis is essential for good postoperative voiding and sexual function. In this context, this chapter is highlighting on fascial anatomy for TME and autonomic nerve structures. On the basis of the anatomy, technical tips for TME with PAN preservation are introduced by the author. This review of anatomy for TME and technical issues for preserving PAN will provide you an insight of desirable TME.

Original languageEnglish
Title of host publicationSurgical Treatment of Colorectal Cancer
Subtitle of host publicationAsian Perspectives on Optimization and Standardization
PublisherSpringer Singapore
Pages119-129
Number of pages11
ISBN (Electronic)9789811051432
ISBN (Print)9789811051425
DOIs
Publication statusPublished - 2018 May 2

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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  • Cite this

    Kim, N. K. (2018). Total mesorectal excision and preservation of the pelvic autonomic nerves: Technical tips and pitfall. In Surgical Treatment of Colorectal Cancer: Asian Perspectives on Optimization and Standardization (pp. 119-129). Springer Singapore. https://doi.org/10.1007/978-981-10-5143-2_12