{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:59:56Z","timestamp":1790855996790,"version":"4.1.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[1998,1,1]],"date-time":"1998-01-01T00:00:00Z","timestamp":883612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Operative procedures for primary rectal cancer from Japan combine pelvic nerve-preserving techniques with radical tumour resection to ensure optimal local tumour control with minimal bladder and sexual dysfunction. A prospective study was undertaken to evaluate morbidity and functional outcome of such a technique in Dutch patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Forty-seven patients were operated on by a Japanese surgeon. Postoperative course was monitored. Voiding and sexual function were analysed using questionnaires completed by patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>After operation, only prolonged paralytic ileus (five of 47 patients) and perineal wound dehiscence (five of 18) occurred more frequently than reported in literature. There were no deaths. No patient developed urinary incontinence. Three of 11 women and 19 of 30 men were sexually active. Two men were impotent after operation. Impotence was related to sacrifice of the inferior hypogastric plexus (P = 0\u00b7037). Preservation of the superior hypogastric plexus was crucial for ejaculation (P = 0\u00b7003).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A relationship between sacrifice of specific nerve structures and accompanying dysfunction was established. The nerve-preserving technique yields good results in terms of morbidity and functional outcome, and should be considered for adoption as a standard surgical procedure for primary rectal cancer.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1046\/j.1365-2168.1998.00530.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T06:58:10Z","timestamp":1047365890000},"page":"92-97","source":"Crossref","is-referenced-by-count":155,"title":["Radical and nerve-preserving surgery for rectal cancer in the Netherlands: a prospective study on morbidity and functional outcome"],"prefix":"10.1093","volume":"85","author":[{"given":"C P","family":"Maas","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital Leiden , Leiden,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Moriya","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Cancer Center Hospital , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W H","family":"Steup","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hospital Leyenburg , The Hague,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G M","family":"Kiebert","sequence":"additional","affiliation":[{"name":"Department of Surgery, Quality of Life Unit, European Organization for Research and Treatment of Cancer Datacenter , Brussels,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W M","family":"Klein Kranenbarg","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Leiden , Leiden,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C J H","family":"van de Velde","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Leiden , Leiden,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1998,1,1]]},"reference":[{"key":"2024092919525195700_bib1","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1016\/S0140-6736(86)91510-2","article-title":"Recurrence and survival after mesorectal excision for rectal cancer","volume":"i","author":"Heald","year":"1986","journal-title":"Lancet"},{"key":"2024092919525195700_bib2","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/BF02553486","article-title":"Significance of lateral node dissection for advanced rectal carcinoma at or below the peritoneal reflection","volume":"32","author":"Moriya","year":"1989","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib3","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1097\/00000658-198604000-00015","article-title":"En bloc pelvic lymphadenectomy and sphincter preservation in the surgical management of rectal cancer","volume":"203","author":"Enker","year":"1986","journal-title":"Ann Surg"},{"key":"2024092919525195700_bib4","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1007\/BF02251965","article-title":"Morbidity and mortality of wide pelvic lymphadenectomy for rectal adenocarcinoma","volume":"35","author":"Michelassi","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib5","volume-title":"Colorectal cancer surgery with emphasis on lymphadenectomy","author":"Steup","year":"1995"},{"key":"2024092919525195700_bib6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/BF02555287","article-title":"Bladder and sexual function after surgery for rectal cancer","volume":"29","author":"Kinn","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib7","first-page":"710","article-title":"Seksuele dysfunctie bij de man na operatieve behandeling wegens rectosigmoidcarcinoom","volume":"135","author":"Havenga","year":"1991","journal-title":"Ned Tijdschr Geneeskd"},{"key":"2024092919525195700_bib8","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1016\/0959-8049(95)00164-E","article-title":"Nerve-sparing surgery with lateral node dissection for advanced lower rectal cancer","volume":"31A","author":"Moriya","year":"1995","journal-title":"Eur J Cancer"},{"key":"2024092919525195700_bib9","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1097\/00000658-195406000-00015","article-title":"Prognostic significance of direct extension of carcinoma of the colon and rectum","volume":"139","author":"Astler","year":"1954","journal-title":"Ann Surg"},{"key":"2024092919525195700_bib10","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1007\/BF02048331","article-title":"Patterns of recurrence after nerve-sparing surgery for rectal adenocarcinoma with special reference to loco-regional recurrence","volume":"38","author":"Moriya","year":"1995","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib11","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/jso.2930280211","article-title":"Quality of life and breast cancer surgery","volume":"28","author":"de Haes","year":"1985","journal-title":"J Surg Oncol"},{"key":"2024092919525195700_bib12","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1001\/archsurg.1992.01420120030005","article-title":"Potency, cure, and local control in the operative treatment of rectal cancer","volume":"127","author":"Enker","year":"1992","journal-title":"Arch Surg"},{"key":"2024092919525195700_bib13","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1007\/BF02052590","article-title":"Carcinoma of the rectum. Profiles of intraoperative and early postoperative complications","volume":"37","author":"Pollard","year":"1994","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib14","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1007\/BF02553825","article-title":"An analysis of survival and voiding, sexual function after wide iliopelvic lymphadenectomy in patients with adenocarcinoma of the rectum, compared with conventional lymphadenectomy","volume":"32","author":"Hojo","year":"1989","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib15","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1007\/BF02148847","article-title":"Postoperative morbidity and mortality following resection of the colon and rectum for cancer","volume":"38","author":"Bokey","year":"1995","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib16","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1007\/BF02553101","article-title":"Mortality, morbidity, and patterns of recurrence after abdominoperineal resection for cancer of the rectum","volume":"25","author":"Rosen","year":"1982","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib17","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1002\/bjs.1800810850","article-title":"Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum","volume":"81","author":"Karanjia","year":"1994","journal-title":"Br J Surg"},{"key":"2024092919525195700_bib18","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0094-0143(21)01462-2","article-title":"Complications of retroperitoneal lymph node dissection","volume":"15","author":"Bihrle","year":"1988","journal-title":"Urol Clin North Am"},{"key":"2024092919525195700_bib19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/j.1464-410X.1978.tb03033.x","article-title":"The incidence and consequence of damage to the parasympathetic nerve supply to the bladder after abdominoperineal resection of the rectum for carcinoma","volume":"50","author":"Fowler","year":"1978","journal-title":"Br J Urol"},{"key":"2024092919525195700_bib20","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1111\/j.1464-410X.1995.tb00768.x","article-title":"Bladder and erectile dysfunction before and after surgery for rectal cancer","volume":"76","author":"Leveckis","year":"1995","journal-title":"Br J Urol"},{"key":"2024092919525195700_bib21","first-page":"274","volume-title":"Colorectal Cancer","author":"Moriya","year":"1993"},{"key":"2024092919525195700_bib22","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/0002-9610(87)90264-9","article-title":"Sexual function after resection for rectal cancer","volume":"154","author":"Santangelo","year":"1987","journal-title":"Am J Surg"},{"key":"2024092919525195700_bib23","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1007\/BF02139098","article-title":"Urogenital dysfunction after abdominoperineal resection for carcinoma of the rectum","volume":"3","author":"Cunsolo","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib24","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/BF02553339","article-title":"Male sexual function after abdominoperineal resection for rectal cancer","volume":"26","author":"Danzi","year":"1983","journal-title":"Dis Colon Rectum"},{"key":"2024092919525195700_bib25","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/00000658-198810000-00001","article-title":"Radical pelvic surgery with preservation of sexual function","volume":"208","author":"Walsh","year":"1988","journal-title":"Ann Surg"},{"key":"2024092919525195700_bib26","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1136\/bmj.302.6791.1501","article-title":"Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival","volume":"302","author":"McArdle","year":"1991","journal-title":"BMJ"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1365-2168.1998.00530.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/85\/1\/92\/59431105\/bjs372.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/85\/1\/92\/59431105\/bjs372.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T19:53:04Z","timestamp":1727639584000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/85\/1\/92\/6269883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,1,1]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1998,1,1]]},"published-print":{"date-parts":[[1998,1,1]]}},"URL":"https:\/\/doi.org\/10.1046\/j.1365-2168.1998.00530.x","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1998,1]]},"published":{"date-parts":[[1998,1,1]]}}}