Abdominoperineal excision or extralevator abdominoperineal excision: which is the best oncological treatment?

Outcome of extralevator abdominoperineal excision over conventional abdominoperineal excision for low rectal tumor: a meta-analysis.

OBJECTIVE A meta-analysis was undertaken to provide an evidence-based basis of clinical trials comparing extralevator abdominoperineal excision with conventional abdominoperineal excision for low rectal tumor. METHODS We searched through the major medical databases such as PubMed, EMBASE, Medline, Science Citation Index, Web of Science for all published studies without any limit on language f...

Controversies in abdominoperineal excision.

Abdominoperineal excision (APE) is a necessary operation in many patients with low rectal cancer. Outcomes after this procedure, however, have been variable and often suboptimal. With a new concept of APE, three different types of procedures can be described, based on pelvic and pelvic floor anatomy: intersphincteric APE, extralevator APE (ELAPE), and ischioanal APE. Improved outcomes have been...

Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer

www.onk.ns.ac.rs/Archive Vol 21, No. 1, March 2013 INTRODUCTION During the past two decades there has been a dramatic improvement in rectal cancer treatment, especially in terms of a lower recurrence rate, prolonged survival and improved quality of life. This is mainly due to implementation of a total mesorectal excision (TME) in standard surgical practice, use of staplers and preoperative irra...

Abdominoperineal excision of the rectum.

Comparative study of extralevator vs. conventional abdominoperineal excision in a single centre in the developing world.

ABSTRACT Abdominoperineal excision (APE) is used to resect cancers in the distal rectum and anus where sphincterpreserving surgery is not possible. It is associated with increased local recurrence rates compared to anterior resection. The extralevator abdominoperineal excision (ELAPE) was developed to reduce local recurrence and was widely adopted without sound evidence. AIM To compare the sh...