Erschienen in:
12.01.2017 | Übersichten
Inferior rectal plexus is no longer isolated in no man’s land
An encouraging outlook with TaTME
verfasst von:
Prof. Dr. med. W. Kneist, S. Stelzner, L. I. Hanke, T. Wedel
Erschienen in:
coloproctology
|
Ausgabe 2/2017
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Abstract
Because of rapid technological progress, precision in rectal cancer therapy has assumed a new dimension. Thus, special attention can be given to the inferior rectal plexus. As a secondary plexus of the inferior hypogastric plexus, its nerve outflow is of great importance for proper pelvic floor function. Our leading question is what the transanal total mesorectal excision (TaTME) perspective could add to the topographical debate about the inferior rectal plexus. After TaTME cadaver training sessions and during TaTME in patients with rectal carcinoma, we can conclude that trained surgeons are capable of accessing the inferior rectal plexus in their operative field.