J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2185KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 101(6): 439-443, 2000

Feature topic

THE INDICATIONS FOR AUTONOMIC NERVE-SPARING SURGERY IN RECTAL CANCER PATIENTS

The 3rd Dapartment of Surgery, Tokyo Medical University, Tokyo, Japan

Koichiro Kato, Susumu Sato, Nobuaki Sakamoto, Lee Jong Sik, Morio Kono, Kiyoharu Umezu, Yasuhisa Koyanagi

Although extended lymph node dissection was developed to improve the therapeutic result in advanced rectal cancer in the 1970s, postoperative dysfunction remaind problematic. Informed concent of cancer is generalized at present. The balance between complete cure and functional preservation is important. Therefore the autonomic nerve-sparing surgical technique for rectal cancer was introduce din the 1980s. The success of nerve-sparing surgery depends on a thorough knowledge of pelvic anatomy, especially the anatomic relationship between the pelvic plexus and internal intestinal vessels. Further investigation is required to clarify the indications for autonomic nerve-sparing surgery in rectal cancer patients.

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