TY - JOUR
T1 - Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century
T2 - Indications, Techniques, and Outcomes
AU - on behalf of the Continuing Education Committee of the SSAT
AU - Hawkins, Alexander T.
AU - Albutt, Katherine
AU - Wise, Paul E.
AU - Alavi, Karim
AU - Sudan, Ranjan
AU - Kaiser, Andreas M.
AU - Bordeianou, Liliana
N1 - Publisher Copyright:
© 2018, The Society for Surgery of the Alimentary Tract.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - 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.
AB - 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.
KW - APE
KW - APR
KW - Abdominoperineal excision
KW - Abdominoperineal resection
KW - ELAPE
KW - Extralevator abdominoperineal excision
KW - Rectal cancer
KW - Total mesorectal excision
UR - http://www.scopus.com/inward/record.url?scp=85045437025&partnerID=8YFLogxK
U2 - 10.1007/s11605-018-3750-9
DO - 10.1007/s11605-018-3750-9
M3 - Article
C2 - 29663303
AN - SCOPUS:85045437025
SN - 1091-255X
VL - 22
SP - 1477
EP - 1487
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
IS - 8
ER -