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March 25, 2026Journal of Clinical MedicineOpen Access

Open vs. Laparoscopic Surgery for Rectal Cancer: Impact on Identification and Preservation of Pelvic Autonomic Nerves and Effects on Urinary and Sexual Function and Quality of Life

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Authors

IDIvan DimitrijevićUniversity of BelgradeMMMarko MiladinovJJJ JelenkovicMerck (Germany)

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Overview

Comparative analysis highlights better urinary and sexual function with laparoscopic surgery in rectal cancer patients, indicating potential benefits of surgical approach.

Key Points

  • This study aims to compare open and laparoscopic surgery for rectal cancer, focusing on nerve preservation and its impacts on urinary and sexual functions.
  • Included 181 patients undergoing curative rectal cancer surgery.
  • Assessed intraoperative nerve identification and preservation during surgeries.
  • Evaluated urinary and sexual functions postoperatively using validated questionnaires.
  • Open surgery showed significantly more nerve non-visualization and injuries.
  • Laparoscopic surgery led to better preservation of urinary and sexual functions, especially in males.
  • Quality of life was comparable between the two surgical approaches by six months.

Cite This Study

Dimitrijević et al. (2026) studied this question.

synapsesocial.com/papers/69c37b41b34aaaeb1a67d852https://doi.org/10.3390/jcm15062421
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparative Evaluation of Near-Term Oncologic, Urinary, Sexual, and Postoperative Outcomes in Rectal Cancer: Laparoscopic vs. Robotic Approaches2025 · 2 citations
  2. 2Comparative analysis of quality of life after laparoscopic and open procedures for upper and middle rectal cancer2018 · 4 citations
  3. 3Comparison of Functional Outcomes Between Robotic and Laparoscopic Surgery in Rectal Cancer Patients: Systematic Review and Meta-Analysis2026 · 1 citations
  4. 4Pelvic anatomy and functional outcomes after rectal cancer resection2026
  5. 5Laparoscopic Rectal Cancer Resection With Pelvic Autonomic Nerve Preservation in Males: A Prospective Single‐Center Study2026