title: [The assessment of curative effect after total mesorectal excision with autonomic nerve preservation for rectal cancer].
abstract: 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.
authors.affiliation: Department of Gastrointestinal and Pancreatic Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China. ptwkbgs@hotmail.com
authors.forename: Jian-ping
authors.initials: JP
authors.lastname: Wang
authors.forename: Mei-jin
authors.initials: MJ
authors.lastname: Huang
authors.forename: Xin-ming
authors.initials: XM
authors.lastname: Song
authors.forename: Yi-hua
authors.initials: YH
authors.lastname: Huang
authors.forename: Ping
authors.initials: P
authors.lastname: Lan
authors.forename: Guan-fu
authors.initials: GF
authors.lastname: Cai
authors.forename: Jun
authors.initials: J
authors.lastname: Zhou
authors.forename: Yuan-zhi
authors.initials: YZ
authors.lastname: Tang
mesh_terms: 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