[The assessment of curative effect after total mesorectal excision with autonomic nerve preservation for rectal cancer].
OBJECTIVE
To evaluate the impact on sexual function, local recurrence and survival after total mesorectal excision (TME) with autonomic nerve preservation (PANP) of rectal cancer.


METHODS
One hundred and five patients after TME with PANP were followed by means of questionnaire on postoperative genital function [TME + PANP(+) group], and the results of 110 patients after TME without PANP [TME + PANP(-) group] were compared with, also their local recurrence and 5-year survival were retrospectively analyzed.


RESULTS
TME + PANP(+) group was compared to TME + PANP(-) group: the erection dysfunction, 33.3% vs 63.2%; the ejaculation dysfunction, 43.8% vs 70.0% (P < 0.01), there were significant differences between two groups, but no difference in local recurrent rate and 5-year survival rate (7.6% vs 5.5%; 63.4% vs 59.7%, P > 0.05).


CONCLUSIONS
The TME with PANP of rectal surgery ensure the radical cure of rectal cancer, at the same time reasonably save the postoperative sexual function and obtain satisfactory postoperative survival.
Wang
Jian-ping
JP
Department of Gastrointestinal and Pancreatic Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China. ptwkbgs@hotmail.com
Huang
Mei-jin
MJ
Song
Xin-ming
XM
Huang
Yi-hua
YH
Lan
Ping
P
Cai
Guan-fu
GF
Zhou
Jun
J
Tang
Yuan-zhi
YZ
D000328:Adult; D000368:Aged; D001341:Autonomic Nervous System / Q000293:injuries*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008643:Mesentery / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000517:prevention & control; D015996:Survival Rate; D016896:Treatment Outcome