What is Extralevator Abdominoperineal excision?
Extralevator abdominoperineal excision (ELAPE) is a relatively new surgical technique for low rectal cancers. Different studies have shown improved short term oncological outcomes compared to conventional abdominoperineal excision (APE) [1]. For low rectal cancers anterior resection (AR) is the preferred procedure.
What is a cylindrical APR?
The cylindrical APR may be performed via an extended posterior perineal approach, that aims to create a more cylindrical specimen without a waist. The potential benefit of this technique is a reduction in the risk of bowel perforation and tumour involvement of the CRM, and thus in the risk of local recurrence.
What are the complications of Abdominoperineal resection?
The most frequent complications of a perineal resection include hemorrhage, perineal wound complications, persistent perineal sinus, and perineal hernia.
How long is recovery after APR?
Most people spend several days in the hospital after an APR, depending on how the surgery is done and their overall health. Recovery time at home may be 3 to 6 weeks.
What is the difference between LAR and APR?
An APR, generally, results in a worse quality of life than the less invasive lower anterior resection (LAR). Thus, LARs are generally the preferred treatment for rectal cancer insofar as this is surgically feasible.
What is a pelvic surgery?
Pelvic surgery is a broad term that refers to surgical procedures performed in the pelvic area, the majority of which are gynecologic operations.
What structures are removed in a pelvic exenteration?
Types of pelvic exenteration A pelvic exenteration removes reproductive organs, the bladder or rectum or both, and lymph nodes in the pelvis. Sometimes part of the colon and anus are also removed. The female reproductive organs removed are the ovaries, fallopian tubes, uterus, cervix and vagina.