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Anatomie und Schonung der autonomen Nerven im Becken

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Moderne Chirurgie des Rektumkarzinoms

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Zusammenfassung

Vor dem Hintergrund der verbesserten Prognose nach kurativ intendierter Behandlung von Patienten mit primärem Rektumkarzinom rücken in der modernen Chirurgie konsequenterweise funktionelle, die Lebensqualität bestimmende Aspekte in den Fokus. So sollen mit einer sogenannten nervenschonenden Operation über das autonome Nervensystem gesteuerte urogenitale und anorektale Funktionen in höherem Maße erhalten werden. Fachpublikationen, Leitlinien, standardisierte Aufklärungsbögen, Krankenkassen, Selbsthilfegruppen, die mediale Öffentlichkeit aber auch Fachanwälte und Gutachter greifen diesen Themenkomplex, seiner Bedeutung für die Patienten entsprechend, auf. In diesem Kapitel wird aus operativer Sicht auf die komplexe Anatomie autonomer Nervengeflechte und Prinzipien der nervenerhaltenden Operation eingegangen.

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Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes Gutenberg-Universität, Langenbeckstraße 1, 55131, Mainz, Deutschland

    Werner Kneist Prof. Dr. med.

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  1. Werner Kneist Prof. Dr. med.
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Correspondence to Werner Kneist Prof. Dr. med. .

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Editors and Affiliations

  1. Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany

    Martin E. Kreis

  2. Klinik für Allgemein- und Viszeralchirurgie, Vivantes Klinikum im Friedrichshain, Berlin, Germany

    Joachim Straßburg

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Kneist, W. (2015). Anatomie und Schonung der autonomen Nerven im Becken. In: Kreis, M., Straßburg, J. (eds) Moderne Chirurgie des Rektumkarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40390-3_9

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  • DOI: https://doi.org/10.1007/978-3-642-40390-3_9

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