Observational studyJournal of robotic surgery2025
da Vinci robotic-assisted micro-space dissection and autonomic nerve network preservation technique in the total mesorectal excision procedure for rectal cancer: a single-center, retrospective, observational, real-world study.
Observational study in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Comparative analysis of anal sphincter-preserving surgical techniques in ultra-low rectal cancer.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Completely preserving the abdominopelvic autonomic nervous system technique during da Vinci robot-assisted rectal cancer surgery remains a challenge for surgeons. Anatomical studies reveal that the abdominopelvic autonomic nervous system resides within the prehypogastric nerve fascia sheath, exhibiting a reticular distribution with accompanying blood vessels surrounding neural fibers. This study proposes a novel autonomic nerve network preservation technique and delineates its technical nuances in robot-assisted total mesorectal excision (TME) for rectal cancer. The enhanced magnification capability of the da Vinci robotic surgical system enables precise dissection along the microanatomical plane between the fascia propria of rectum (FPR) and the prehepogastric nerve fascia sheath. By performing intermembrane micro-space dissection between the FPR and the prehypogastric nerve fascia sheath, the technology can preserve the autonomic nerve main trunks, branches, and vascular supply of autonomic nerves while minimizing bleeding and surgical trauma. This research summarizes our experience with 141 cases of middle and low rectal cancer undergoing da Vinci robotic-assisted autonomic nerve network preservation in the total mesorectal excision surgery from October 2020 to December 2024. There were no conversions to open or conventional laparoscopic techniques. Our preliminary data demonstrate preserved oncological efficacy while significantly reducing postoperative urinary and sexual dysfunction with concomitant improvement in recovery milestones.
Indexed as
Identifiers
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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.