Intraoperative nerve monitoring Surgery Malignant neoplasm of rectum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed carcinoma of the rectum 2. Curative or palliative rectal resection, abdomino-perineal rectal extirpation, multivisceral resection 3. Male or female, aged greater than or equal to 18 years 4. Signed declaration of consent
Exclusion criteria
Exclusion criteria: 1. Emergency operation 2. Transanal Endoscopic Microsurgery (TEM) 3. Pacemaker 4. General contraindications for operation 5. Missing data on urogenital and anorectal function 6. Pregnancy and breastfeeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Examination of functionality of continuous intraoperative monitoring of pelvic autonomic nerves during nerve-sparing mesorectal excision in rectal cancer patients | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Examination of functionality of selective identification and intermittent intraoperative monitoring of pelvic autonomic nerves during nerve-sparing mesorectal excision in rectal cancer patients 2. Comparison of neurostimulation results with the observed clinical data 2.1. Preoperative data: 2.1.1. Anamnesis 2.1.2. Indication for operation 2.1.3. Clinical staging 2.1.4. Standardised questionnaires: 2.1.4.1. International Prostate Symptom Score (IPSS) 2.1.4.2. Quality of Life (QoL) 2.1.4.3. Cleveland Clinic Incontinence Score (CCIS) 2.1.4.4. Memorial Sloan-Kettering Cancer Center (MSKCC) assessment for anal continence 2.1.4.5. International Index of Erectile Function (IIEF) 2.1.4.6. Female Sexual Function Index (FSFI) 2.1.5. Sonographic assessment of the residual volume 2.2. Intraoperative data: 2.2.1. Macroscopic assessment of pelvic autonomic nerve preservation 2.2.2. Intraoperative complications 2.2.3. Assessment of stimulation probes 2.3. Postoperative data: 2.3.1. Pathological staging 2.3.2. Standardised questionnaires (IPSS, Qol, CCIS, MSKCC, IIEF, FSFI) 2.3.3. Date of removal of suprapubic or indwelling catheter 2.3.4. Need for recatheterisation 2.3.5. Sonographic assessment of the residual volume 2.3.6. Postoperative complications | — |
Countries
Germany