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随着淋巴结廓清范围的扩大及全直肠系膜切除术(Total Mesorectal Excision TME)应用,进展期直肠癌的生存率已有明显改善。但另一方面,大范围的淋巴结清扫及全直肠系膜完整切除已使许多患者的泌尿生殖系统功能受到不同程度的影响。为了改善直肠癌患者术后的生活质量,尽可能地使患者泌尿系统及生殖功能维持正常,近年来保留盆腔自主神经的直肠癌根治术(Pelvic autonomic nerve preseva-
With the expansion of the range of lymphadenectomy and the application of Total Mesorectal Excision (TME), the survival rate of advanced rectal cancer has been significantly improved. On the other hand, extensive lymph node dissection and complete resection of the mesorectum have caused urogenital function in many patients to be affected to varying degrees. In order to improve the postoperative quality of life in patients with rectal cancer, and to maintain the urinary system and reproductive function as normal as possible, Pelvic autonomic nerve preseva- has been preserved in recent years.