The Modern Abdominoperineal Excision

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...

Abdominoperineal excision of the rectum.

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...

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...

Should Abdominoperineal Excision Be Considered as the Initial Treatment for a Primary Anorectal Malignant Melanoma?

five-year disease-specific survival for the entire cohort was 34%, with a median follow-up of 39 months for survivors. Thirty-four (74%) of 46 patients relapsed, with a median relapse-free survival of 10 months and an overall recurrence rate of 53% at 1 year. The majority of patients developed distant recurrences. No differences were seen in patterns of relapse between patients treated with an ...