Pelvic intraoperative neuromonitoring during robotic-assisted low anterior resection for rectal cancer. Issue 2 (June 2016)

• Record Type: Journal Article
• Authors: Grade, Marian; Beham, Alexander; Schüler, P.; Kneist, Werner; Ghadimi, B.
• Is Part Of: Journal of robotic surgery. Volume 10:Issue 2(2016)
• Page Start: 157
• Page End: 160
• Publication Date: 2016-06
• Subjects: Rectal cancer -- Low anterior rectal resection -- Robotic surgery -- Nerve-sparing total mesorectal excision -- Intraoperative neuromonitoring -- Autonomic pelvic nerves; Robotics -- Periodicals; Robotics in medicine -- Periodicals; Robotics -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Electronic journals; 617.9
• DOI: 10.1007/s11701-015-0556-6
• Languages: English
• ISSNs: 1863-2483

Abstract

Abstract While the oncological outcome of patients with rectal cancer has been considerably improved within the last decades, anorectal, urinary and sexual functions remained impaired at high levels, regardless of whether radical surgery was performed open or laparoscopically. Consequently, intraoperative monitoring of the autonomic pelvic nerves with simultaneous electromyography of the internal anal sphincter and manometry of the urinary bladder has been introduced to advance nerve-sparing surgery and to improve functional outcome. Initial results suggested that pelvic neuromonitoring may result in better functional outcomes. Very recently, it has also been demonstrated that minimally invasive neuromonitoring is technically feasible. Because, to the best of our knowledge, pelvic neuromonitoring has not been performed during robotic surgery, we report the first case of robotic-assisted low anterior rectal resection combined with intraoperative monitoring of the autonomic pelvic nerves.