Total mesorectal excision and preservation of the genitourinary innervation in rectal cancer surgery.

Citation
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
Citations number
16
Categorie Soggetti
Surgery
Journal title
ANNALES DE CHIRURGIE
ISSN journal
00033944 → ACNP
Volume
53
Issue
6
Year of publication
1999
Pages
507 - 514
Database
ISI
SICI code
0003-3944(1999)53:6<507:TMEAPO>2.0.ZU;2-J
Abstract
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.