Abdominoperineal Resection: How Is It Done and What Are the Results?

 

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ABSTRACT

Abdominoperineal resection (APR) for many years was the treatment of choice for most patients with rectal cancer. Recent advances in surgical technique and other treatment modalities have led to a marked increase in the rate of sphincter-sparing operations, with a concomitant decrease in APR. However, it is still necessary in selected patients, especially those with very distal tumors or poor sphincter function. This review will cover the history of APR, current operative strategy and complications, oncologic and quality of life results, as well as potential future advances.

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W Brian PerryM.D. 

Department of Surgery, Colorectal Section, Wilford Hall Medical Center, 859 MSGS/MCSG

2200 Bergquist Dr., Ste. 1, Lackland AFB, San Antonio, TX 78236-5300

Email: William.perry1@us.af.mil