Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes

on behalf of the Continuing Education Committee of the SSAT

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Background: Management of low rectal cancer continues to be a challenge, and decision making regarding the need for an abdominoperineal resection (APR) in patients with low-lying tumors is complicated. Furthermore, choices need to be made regarding need for modification of the surgical approach based on tumor anatomy and patient goals. Discussion: In this article, we address patient selection, preoperative planning, and intraoperative technique required to perform the three types of abdominoperineal resections for rectal cancer: extrasphincteric, extralevator, and intersphincteric. Attention is paid not only to traditional oncologic outcomes such as recurrence and survival but also to patient-reported outcomes and quality of life.

Original languageEnglish
Pages (from-to)1477-1487
Number of pages11
JournalJournal of Gastrointestinal Surgery
Volume22
Issue number8
DOIs
StatePublished - Aug 1 2018

Keywords

  • APE
  • APR
  • Abdominoperineal excision
  • Abdominoperineal resection
  • ELAPE
  • Extralevator abdominoperineal excision
  • Rectal cancer
  • Total mesorectal excision

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