进展期直肠癌特别是直肠下段癌为了减少局部复发,行扩大淋巴结清除术,术后多伴随出现排尿及性功能障碍。为此,在小林、小松原、佐藤等的研究基础上,土屋氏等从1981年首创选择性保留植物神经根治性直肠癌手术。1983年报道了初步结果,1986年阐述了有关此项手术更为详细的保留植物神经的方法。1987年土屋氏等再次发表了更为成熟的手术手技经验并提出扩大适应证的范围。1989年11月日本大肠肛门病学会上,将保留植物神经手术以研究会形式进行了专题讨论。会上一致认为本术式能满足 Progressive rectal cancer, especially in the lower rectal cancer, in order to reduce local recurrence, expanded lymph node dissection, postoperative accompanied by urination and sexual dysfunction. To this end, based on the research of Kobayashi, Komatsuhara, Sato et al., Touhoku et al., from 1981, pioneered the selective preservation of autonomic radical rectal cancer surgery. The preliminary results were reported in 1983, and the more detailed methods of preserving autonomic nerves were described in 1986. In 1987, Touchi et al. once again published more sophisticated surgical techniques and proposed the scope for expanding the indications. In the Japanese Society of Large Intestine and Anal Disease, November 1989, the topic of autonomic nerve surgery was discussed in the form of seminars. At the meeting, they agreed that this procedure can meet