Extralevator Abdominoperineal Resection in the Prone Position

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Extralevator Abdominoperineal Resection in the Prone Position

The Miles operation is every day more in the limelight. The abdominoperineal resection compared to anterior resection results in increased rate of circumferential resection margin (CRM) infiltration, increased iatrogenic tumor perforation rate and poorer quality of the mesorectum. These worse results may be caused by excessive dissection between the distal mesorectum and the plane of the levato...

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Short-term Outcomes of an Extralevator Abdominoperineal Resection in the Prone Position Compared With a Conventional Abdominoperineal Resection for Advanced Low Rectal Cancer: The Early Experience at a Single Institution.

PURPOSE This study compared the perioperative and pathologic outcomes between an extralevator abdominoperineal resection (APR) in the prone position and a conventional APR. METHODS Between September 2011 and March 2014, an extralevator APR in the prone position was performed on 13 patients with rectal cancer and a conventional APR on 26 such patients. Patients' demographics and perioperative ...

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Better operative outcomes achieved with the prone jackknife vs. lithotomy position during abdominoperineal resection in patients with low rectal cancer

BACKGROUND Lithotomy (LT) and prone jackknife positions (PJ) are routinely used for abdominoperineal resection (APR). The present study compared the clinical, pathological, and oncological outcomes of PJ-APR vs. LT-APR in low rectal cancer patients in order to confirm which position will provide more benefits to patients undergoing APR. METHODS This is a retrospective study of consecutive pat...

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Comparison of Extralevator Abdominoperineal Excision (ELAPE)and Abdominal - Perineal Resection (APR)

To compare the difference between the extralevator abdominoperineal excision (ELAPE) and abdominal perineal resection (APR) in circum ferencial resection margin (CRM) positive rate, intraoperative perforation (IOP) the incidence of postoperative wound infection, incision infection reoperation rate, surgical indications, operation time, hemorrhage volume, the recurrence rate, postoperative quali...

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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...

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ژورنال

عنوان ژورنال: Annals of Coloproctology

سال: 2016

ISSN: 2287-9714,2287-9722

DOI: 10.3393/ac.2016.32.1.1