Department of Surgery, University Hospital of Larissa, Mezourlo Hill, 41112, Larissa, Greece.
Int J Colorectal Dis. 2021 Jul;36(7):1385-1394. doi: 10.1007/s00384-021-03884-z. Epub 2021 Mar 8.
The aim of this study is to evaluate the role of pelvic intraoperative neuromonitoring (pIONM) in rectal cancer surgery.
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.
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).
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.
本研究旨在评估直肠肿瘤手术中骨盆术中神经监测（pIONM）的作用。
根据系统评价和荟萃分析的首选报告项目（PRISMA）指南和 Cochrane 干预系统评价手册进行文献系统评价和荟萃分析。
共确定了 9 项研究。仅在 3 项试验中进行了定量分析。双侧 pIONM 改善了术后肛肠和泌尿生殖功能结局。然而，单侧 pIONM 仅对勃起功能显示出显著效果（p=0.001）。
我们的研究结果表明，pIONM 对直肠肿瘤手术后的功能结局和生活质量有积极影响。由于存在一些局限性，需要进一步的试验来阐明 pIONM 的确切作用。
