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在直肠癌手术后尿路和性功能障碍:一个手术挑战
Theodoros Kolokotronis1, Dimitrios Pantelis2
1Department of Surgery and Centre of Minimal Invasive Surgery, GFO Kliniken Bonn, Bonn 53225, North Rhine-Westphalia, Germany. fernado13984@yahoo.gr.
World journal of gastroenterology
|December 23, 2024
概括
由于神经损伤,直肠癌手术可能会导致尿路和性功能障碍. 保存神经和使用先进的手术技术,如机器人或透过的全腹腔切除术 (TME),可以减少这些副作用.
科学领域:
- 在瘤学瘤学.
- 外科泌尿外科手术 泌尿外科
- 胃肠道手术 胃肠道手术
背景情况:
- 尿路功能障碍影响了三分之一的直肠癌手术后患者.
- 手术期间的神经损伤是尿路功能障碍的主要原因.
- 放射治疗可能会使这些患者的性功能障碍恶化.
研究的目的:
- 审查在直肠癌手术后最小化泌尿和性功能障碍的手术策略.
- 讨论神经保护技术对术后功能的影响.
主要方法:
- 对手术技术的审查,包括全腹腔切除术 (TME).
- 讨论Denonvilliers的护膜保护与切除的作用.
- 分析机器人,透过门和最少侵入性的TME方法.
- 考虑在手术期间进行的骨盆神经监测.
主要成果:
- 手术神经损伤是尿路功能障碍的重要原因之一.
- 特定的手术技术和神经保护对功能结果产生影响.
- 先进的TME方法可以提供更好的功能保存.
结论:
- 精确了解盆腔神经解剖学是至关重要的.
- 新的外科手术技术可以减少直肠癌手术后的泌尿和性功能障碍.
- 优化手术方法是改善患者生活质量的关键.
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