World journal of gastrointestinal surgery · 2025
Impact of autonomic nerve-oriented anatomical laparoscopic surgery on recovery in patients with colorectal cancer.
СтатьяНазвание и аннотация: Перевод в очереди
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Yi Jian-Zhong, Liu Yun-Geng, Liu Chuan-Yuan, Fang Chuan-Fa
Аннотация
BACKGROUND: Implementation of an autonomic nerve-oriented anatomical approach in laparoscopic surgery for patients with colorectal cancer may provide a new reference for surgical intervention in this patient population.
AIM: To assess the impact of autonomic nerve-oriented anatomical laparoscopic surgery on recovery and postoperative risks in patients with colorectal cancer.
METHODS: Data from 116 patients diagnosed with colorectal cancer, treated between January 2016 and May 2024, were randomly divided into 2 groups (n = 58 each) according to surgical approach: Control (radical vessel-oriented laparoscopic surgery); and Observation (autonomic nerve-oriented anatomical surgery). Perioperative indicators, and postoperative risk for urinary dysfunction and sexual function were compared between the 2 groups.
RESULTS: Compared with the control group, the observation group experienced less intraoperative blood loss (P < 0.05) and exhibited superior perioperative indicators (P < 0.05). At 2 weeks and 3 months postoperatively, the proportion of patients with urinary dysfunction in the observation group was lower than that in the control group (P < 0.05). Four months postoperatively, there were significant differences in male erectile dysfunction, female dyspareunia, and sexual pleasure grading between the 2 groups (P < 0.05).
CONCLUSION: The autonomic nerve-oriented anatomical approach to laparoscopic surgery for colorectal cancer accelerates postoperative recovery, with decreased intraoperative blood loss, lower impact on urinary and sexual functions, and enhances surgical safety.
AIM: To assess the impact of autonomic nerve-oriented anatomical laparoscopic surgery on recovery and postoperative risks in patients with colorectal cancer.
METHODS: Data from 116 patients diagnosed with colorectal cancer, treated between January 2016 and May 2024, were randomly divided into 2 groups (n = 58 each) according to surgical approach: Control (radical vessel-oriented laparoscopic surgery); and Observation (autonomic nerve-oriented anatomical surgery). Perioperative indicators, and postoperative risk for urinary dysfunction and sexual function were compared between the 2 groups.
RESULTS: Compared with the control group, the observation group experienced less intraoperative blood loss (P < 0.05) and exhibited superior perioperative indicators (P < 0.05). At 2 weeks and 3 months postoperatively, the proportion of patients with urinary dysfunction in the observation group was lower than that in the control group (P < 0.05). Four months postoperatively, there were significant differences in male erectile dysfunction, female dyspareunia, and sexual pleasure grading between the 2 groups (P < 0.05).
CONCLUSION: The autonomic nerve-oriented anatomical approach to laparoscopic surgery for colorectal cancer accelerates postoperative recovery, with decreased intraoperative blood loss, lower impact on urinary and sexual functions, and enhances surgical safety.