Intraoperative neuromonitoring in rectal cancer surgery: a systematic review and meta-analysis

被引：8
|
作者：
Samara, Athina A. [1 ]
Baloyiannis, Ioannis [1 ]
Perivoliotis, Konstantinos [1 ]
Symeonidis, Dimitrios [1 ]
Diamantis, Alexandros [1 ]
Tepetes, Konstantinos [1 ]
机构：
[1] Univ Hosp Larissa, Dept Surg, Mezourlo Hill, Larisa 41112, Greece
来源：
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 2021年 / 36卷 / 07期
关键词：
TME; Neuromonitoring; Fecal incontinence; Urogenital dysfunction; Pelvic; TOTAL MESORECTAL EXCISION; ANTERIOR RESECTION SYNDROME; ANAL-SPHINCTER INNERVATION; PELVIC AUTONOMIC NERVES; LAPAROSCOPIC SURGERY; URINARY DYSFUNCTION; FUNCTIONAL OUTCOMES; SEXUAL DYSFUNCTION; RISK-FACTORS; IMPACT;
D O I：
10.1007/s00384-021-03884-z
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Purpose The aim of this study is to evaluate the role of pelvic intraoperative neuromonitoring (pIONM) in rectal cancer surgery. Methods A systematic review of the literature and a meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. Results Overall, nine studies were identified. Quantitative analysis was performed only in three trials. Bilateral pIONM improved postoperative anorectal and urogenital functional outcomes. However, unilateral pIONM displayed a significant effect only on erectile function (p = 0.001). Conclusions Our findings suggest a positive effect of pIONM on postoperative functional outcomes and quality of life after rectal cancer surgery. Due to several limitations, further trials are required in order to elucidate the exact role of pIONM.
引用
收藏
页码：1385 / 1394
页数：10
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