Low Rectal Cancers: Evolution from Abdominoperineal Resection (APR) to Sphincter Saving Procedures (SSP)

Laparoscopic Abdominoperineal Resection for Low Rectal Adenocarcinoma

Outcomes of patients with abdominoperineal resection (APR) and low anterior resection (LAR) who had very low rectal cancer

We compared the oncological outcomes of sphincter-saving resection (SSR) and abdominoperineal resection (APR) in 409 consecutive patients with very low rectal cancer (i.e., tumors within 3 cm from the anal verge); 335 (81.9%) patients underwent APR and 74 (18.1%) underwent SSR. The APR group comprised higher proportions of men (67.5% vs 55.4%, P = .049) and advanced-stage patients (P < .001). P...

Sphincter sparing procedures: is it a standard for management of low rectal cancer.

PURPOSE The purpose of this study is to determine whether the type of operation, sphincter sparing procedures (SSP) or abdomino-perineal resection (APR) for primary adenocarcinoma of the rectum at or below the peritoneal reflection affects survival and recurrence after curative surgery. MATERIAL AND METHODS A prospective controlled study of seventy nine patients with low rectal carcinoma was ...

Comparison of abdominoperineal resection and low anterior resection in lower and middle rectal cancer.

INTRODUCTION This study aimed to investigate local control and survival rates following abdominoperineal resection (APR) compared with low anterior resection (LAR) in lower and middle rectal cancer. METHODS In this retrospective study, 153 patients with newly histologically proven rectal adenocarcinoma located at low and middle third that were treated between 2004 and 2010 at a tertiary hospi...

Preoperative Evaluation of Lower Rectal Cancer by Pelvic MR with and without Gel Filling

Patients with rectal cancer in the lower third of the rectum have three main options for surgical treatment including transanal resection, abdominoperineal resection (APR), total mesorectal excision (TME) and preoperative concurrent chemoradiotherapy (CCRT) with surgical management. However, APR can lead to a decreased quality of life, viewed in colostomy and compared to other surgical treatmen...