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16.04.2018 | Evidence-Based Current Surgical Practice

Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes

verfasst von: Alexander T. Hawkins, Katherine Albutt, Paul E. Wise, Karim Alavi, Ranjan Sudan, Andreas M. Kaiser, Liliana Bordeianou, on behalf of the Continuing Education Committee of the SSAT

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 8/2018

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Abstract

Background

Management of low rectal cancer continues to be a challenge, and decision making regarding the need for an abdominoperineal resection (APR) in patients with low-lying tumors is complicated. Furthermore, choices need to be made regarding need for modification of the surgical approach based on tumor anatomy and patient goals.

Discussion

In this article, we address patient selection, preoperative planning, and intraoperative technique required to perform the three types of abdominoperineal resections for rectal cancer: extrasphincteric, extralevator, and intersphincteric. Attention is paid not only to traditional oncologic outcomes such as recurrence and survival but also to patient-reported outcomes and quality of life.

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Titel: Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes
verfasst von: Alexander T. Hawkins
Katherine Albutt
Paul E. Wise
Karim Alavi
Ranjan Sudan
Andreas M. Kaiser
Liliana Bordeianou
on behalf of the Continuing Education Committee of the SSAT
Publikationsdatum: 16.04.2018
Verlag: Springer US
Erschienen in: Journal of Gastrointestinal Surgery / Ausgabe 8/2018
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-018-3750-9

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Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes

Abstract

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