Ключевые слова:
Anorectal dysfunction; Neuromonitoring; Pelvic nerves; Rectal cancer; Sexual dysfunction; Urinary dysfunction
autonomic nerve; cancer surgery; colorectal cancer; follow up; human; hypogastric plexus; nerve injury; nerve plexus; neuromonitoring; outcome assessment; pelvic nerve; peroperative care; postoperative period; rectum cancer; Review
Царьков П. В. Петр Владимирович 1957-
Кочетков В. С. Виктор Сергеевич 1986-
Ефетов С. К. Сергей Константинович 1985-
Киценко Ю. Е. Юрий Евгеньевич 1989-
Стамов В. И.
Tsar`kov P. V. Petr Vladimirovich 1957-
Kochetkov V. S. Viktor Sergeevich 1986-
Efetov S. K. Sergej Konstantinovich 1985-
Kitsenko Yu. E. Yurij Evgenyevich 1989-
Stamov V. I.
Intraoperative neuromonitoring of pelvic autonomic nerves during surgigal treatment of colorectal cancer: A review of the literature and the initial experience of our clinic [ИСПОЛЬЗОВАНИЕ ИНТРАОПЕРАЦИОННОГО НЕЙРОМОНИТОРИНГА ДЛЯ ОПРЕДЕЛЕНИЯ ВЕГЕТАТИВНЫх НЕРВОВ МАЛОГО ТАЗА ПРИ хИРУРГИЧЕСКОМ ЛЕЧЕНИИ РАКА ПРЯМОЙ КИШКИ: ОБЗОР ЛИТЕРАТУРЫ И ПЕРВИЧНЫЙ ОПЫТ КЛИНИКИ]
Intraoperative neuromonitoring of pelvic autonomic nerves during surgigal treatment of colorectal cancer: A review of the literature and the...
Текст визуальный непосредственный
Сибирский онкологический журнал
Томский национальный исследовательский медицинский центр РАН
Т. 18, Вып. 2 С. 58-64
2019
Обзор
Anorectal dysfunction Neuromonitoring Pelvic nerves Rectal cancer Sexual dysfunction Urinary dysfunction
autonomic nerve cancer surgery colorectal cancer follow up human hypogastric plexus nerve injury nerve plexus neuromonitoring outcome assessment pelvic nerve peroperative care postoperative period rectum cancer Review
Introduction. urogenital and anorectal functional disturbances associated with the pelvic autonomic nerve damage are common complications of rectal cancer surgery. the search for methods of intraoperative identification of the autonomic nerve plexus is currently one of the key tasks in modern surgery of rectal cancer. the purpose of our study is to evaluate the role of intraoperative neuromonitoring in rectal cancer surgery. material and methods. in 2017 we performed intraoperative neuromonitoring during rectal cancer surgery in two cases. the superior hypogastric plexus and the inferior hypogastric plexus were identified and the pelvic autonomic nerve was preserved in both patients. urogenital and anorectal functional outcomes were assessed in the postoperative period. Results. satisfactory functional outcomes in the late postoperative period and at the 12-month follow-up suggest that intraoperative neuromonitoring may be useful in identification and prevention of the pelvic autonomic