Impact of autonomic nerve-oriented anatomical laparoscopic surgery on recovery in patients with colorectal cancer.

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.