E. Tiret et M. Pocard, Total mesorectal excision and preservation of the genitourinary innervation in rectal cancer surgery., ANN CHIR, 53(6), 1999, pp. 507-514
Locoregional recurrence is one of the most important problems after surgery
for rectal cancer. Four to five per cent local recurrence rates have been
reported after total mesorectal excision with autonomic nerve preservation.
After an anatomic description, the authors describe the surgical technique
of total mesorectal excision with nerve preservation. Carcinologic and fun
ctional results are reported, before concluding that this technique should
be performed for mid or low rectal tumours with a distance to anorectal jun
ction less than 5 cm.