title: [Nerve-preserving low anterior rectum resection].
abstract: OBJECTIVE
  The Performance of an oncological low anterior rectum resection with preservation of the sympathic and parasympathic nerves is illustrated.
  
  
  METHODS
  The total mesorectal excision (TME) by Robert Heald et al. is the gold standard for rectal cancer operations which has lowered drastically the local recurrence rate. As the survival data improve, the new focus is the postoperative quality of life with preserving of the bladder and sexual function.
  
  
  METHODS
  We demonstrate an anterior rectal cancer operation with preserving of the sympathetic and parasympathetic nerves step by step.
  
  
  CONCLUSIONS
  The critical parts of preserving the nerves with the N. hypogastricus superior and inferior as well as the neurovascular bundle "erigent pillar" are demonstrated.
authors.affiliation: Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Reißfelder
authors.affiliation: Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Kirchberg
authors.affiliation: Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Weitz
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007001:Hypogastric Plexus / Q000293:injuries / Q000601:surgery; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging; D010275:Parasympathetic Nervous System / Q000293:injuries / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000294:innervation* / Q000473:pathology / Q000601:surgery*; D012735:Sexual Dysfunction, Physiological / Q000517:prevention & control*; D013564:Sympathetic Nervous System / Q000293:injuries / Q000601:surgery*; D014549:Urinary Incontinence / Q000517:prevention & control*