CAJ | 학술논문

尽管全直肠系膜切除术(TME)是直肠癌根治术的金标准,但术后有一定的泌尿生殖功能障碍发生率.我们通过盆腔筋膜的解剖研究明确了TME正确的手术层次,并进一步界定了手术层次与盆腔神经的关系,以期减少术中神经损伤.值得注意的是,盆丛存在两种形态,如果盆丛为弥散状,完整的切除直肠系膜将不可避免地损伤盆丛,因而需通过深入的研究明确盆丛不同的功能单位.
진관전직장계막절제술(TME)시직장암근치술적금표준,단술후유일정적비뇨생식공능장애발생솔.아문통과분강근막적해부연구명학료TME정학적수술층차,병진일보계정료수술층차여분강신경적관계,이기감소술중신경손상.치득주의적시,분총존재량충형태,여과분총위미산상,완정적절제직장계막장불가피면지손상분총,인이수통과심입적연구명학분총불동적공능단위.
Total mesorectal excision (TME) is being established as the gold standard for rectal cancer surgery,however sexual and urinary dysfunction is an established risk after TME.By cadaver dissections,we clarify the correct surgical plane for TME and further determine the relation between the surgical plane and pelvic autonomic nerves.It must be noted that the pelvic plexus can be divided into 2 categories:aggregated shape and diffused shape.The latter is in tight contact with visceral fascia,which seems to be inseparable from each other by sharp dissection.Therefore,it is necessary to study the function of different units in pelvic plexus.