Trial reportInternational journal of colorectal disease2013
Nerve-oriented mesorectal excision (NOME): autonomic nerves as landmarks for laparoscopic rectal resection.
Trial report in International journal of colorectal disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed.
- Surgeons' assessment of internal anal sphincter nerve supply during TaTME - inbetween expectations and reality.Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy · 2016Trial
- Artificial intelligence-enhanced navigation for nerve recognition and surgical education in laparoscopic colorectal surgery.Surgical endoscopy · 2025Article
- Clinical application of eight-zone laparoscopic dissection strategy for rectal cancer: Experience and discussion.World journal of gastroenterology · 2024Article
- Anatomy of the perirectal fascia at the level of rectosacral fascia revisited.Gastroenterology report · 2022Article
- Significance of Nerve Plane for Inferior Mesenteric Plexus Preservation in Laparoscopic Rectal Cancer Surgery.Frontiers in oncology · 2022Article
- Magnetic resonance neuroimaging promotes the preservation of pelvic autonomic nerves in laparoscopic total mesorectal excision: a comparative study.Annals of translational medicine · 2021Article
- Quality of Life in Patients With Rectal Resections and End-to-End Primary Anastomosis Using a Standardized Perioperative Pathway.Frontiers in surgery · 2021Article
- To what extent is the low anterior resection syndrome (LARS) associated with quality of life as measured using the EORTC C30 and CR38 quality of life questionnaires?International journal of colorectal disease · 2019Article
- Outcome of bowel function following anterior resection for rectal cancer-an analysis using the low anterior resection syndrome (LARS) score.International journal of colorectal disease · 2018Article
- Reappraisal of the lateral rectal ligament: an anatomical study of total mesorectal excision with autonomic nerve preservation.International journal of colorectal disease · 2018Article
- Sexual dysfunction following rectal cancer surgery.International journal of colorectal disease · 2017Review
- [Intraoperative pitfalls and complications in defecation disorders and rectal prolapse].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
- Pelvic autonomic nerve preservation in radical rectal cancer surgery: changes in the past 3 decades.Gastroenterology report · 2016Review
- [Hybrid TAMIS total mesorectal excision. A new perspective in treatment of distal rectal cancer - Technique and results].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
- The urogenital-hypogastric sheath: an anatomical observation on the relationship between the inferomedial extension of renal fascia and the hypogastric nerves.International journal of colorectal disease · 2014Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe have developed nerve-oriented mesorectal excision (NOME) as a novel concept in rectal cancer surgery by which autonomic pelvic nerves serve as landmarks for a standardized navigation along fascial planes. This article describes the technique step by step and presents our results from 2008 to 2012. MATERIAL AND
methodsThe key steps are: preparation of the splanchnic nerves at the mid-posterior sidewall, the hypogastric nerves at the upper sidewall, and the urogenital nerve branches (Walsh) at the caudal-anterior sidewall. The dissection of the lateral ligament is strictly performed as the last step. NOME was applied in 274 consecutive mesorectal excisions (partial 20.4%, total 79.6%); a subgroup of 42 male patients underwent a questionnaire-based interview on sexual activity.
resultsThe conversion rate was 0.7%. High (complete) specimen quality and circumferential margin negativity were achieved in 90.1% and 95.3%, respectively. Anastomotic leaks occurred in 13 (4.7%) patients. Mortality was 1.8%. The frequency of prolonged urinary catheter was 1.8%. Of 22 sexually active males interviewed, 18 (81.8%) maintained activity postoperatively.
conclusionsNOME achieves high-quality mesorectal specimens and a high rate of preservation of autonomic nerve function. The concept of using nerves as laparoscopic landmarks may help to standardize and master laparoscopic rectal cancer surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.