Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer
Abstract Treatment results in rectal cancer have improved significantly during the recent two decades, but local control and survival after abdominoperineal excision (APE) have not improved to the same degree as that seen after anterior resection (AR). The reason for this is an increased risk of ina...
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| Veröffentlicht in: | Clinics in colon and rectal surgery 2017-11, Vol.30 (5), p.357-367 |
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| container_title | Clinics in colon and rectal surgery |
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| creator | Holm, Torbjörn |
| description | Abstract
Treatment results in rectal cancer have improved significantly during the recent two decades, but local control and survival after abdominoperineal excision (APE) have not improved to the same degree as that seen after anterior resection (AR). The reason for this is an increased risk of inadvertent bowel perforations and tumor involved margins after APE as compared with AR. The conventional synchronous combined APE has not been a standardized procedure and consequently oncological outcomes have varied considerably between different institutions and in different reports. With the new concept of APE, based on well-defined anatomical structures, the procedure can be categorized as intersphincteric APE, extralevator APE, and ischioanal APE. This article discusses the technical aspects and results from this approach. |
| doi_str_mv | 10.1055/s-0037-1606113 |
| format | Article |
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Treatment results in rectal cancer have improved significantly during the recent two decades, but local control and survival after abdominoperineal excision (APE) have not improved to the same degree as that seen after anterior resection (AR). The reason for this is an increased risk of inadvertent bowel perforations and tumor involved margins after APE as compared with AR. The conventional synchronous combined APE has not been a standardized procedure and consequently oncological outcomes have varied considerably between different institutions and in different reports. With the new concept of APE, based on well-defined anatomical structures, the procedure can be categorized as intersphincteric APE, extralevator APE, and ischioanal APE. This article discusses the technical aspects and results from this approach.</description><identifier>ISSN: 1531-0043</identifier><identifier>EISSN: 1530-9681</identifier><identifier>DOI: 10.1055/s-0037-1606113</identifier><identifier>PMID: 29184471</identifier><language>eng</language><publisher>333 Seventh Avenue, New York, NY 10001, USA: Thieme Medical Publishers</publisher><subject>Medicin och hälsovetenskap ; Review ; Review Article</subject><ispartof>Clinics in colon and rectal surgery, 2017-11, Vol.30 (5), p.357-367</ispartof><rights>Thieme Medical Publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-31807db17a3d46faf009a9ba0df9308019db1c9267b855d9e5df8cb07904f1cd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703661/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703661/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,552,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29184471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:137102506$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Holm, Torbjörn</creatorcontrib><title>Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer</title><title>Clinics in colon and rectal surgery</title><addtitle>Clin Colon Rectal Surg</addtitle><description>Abstract
Treatment results in rectal cancer have improved significantly during the recent two decades, but local control and survival after abdominoperineal excision (APE) have not improved to the same degree as that seen after anterior resection (AR). The reason for this is an increased risk of inadvertent bowel perforations and tumor involved margins after APE as compared with AR. The conventional synchronous combined APE has not been a standardized procedure and consequently oncological outcomes have varied considerably between different institutions and in different reports. With the new concept of APE, based on well-defined anatomical structures, the procedure can be categorized as intersphincteric APE, extralevator APE, and ischioanal APE. This article discusses the technical aspects and results from this approach.</description><subject>Medicin och hälsovetenskap</subject><subject>Review</subject><subject>Review Article</subject><issn>1531-0043</issn><issn>1530-9681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>D8T</sourceid><recordid>eNp1Uktv1DAQjhCIlsKVI8qRS8pMnMQxB6RqVR5SpZWgnC3Hnuy6JPZiJwX-RH9zvd1tSw978ni-x_jxZdlbhFOEuv4QCwDGC2ygQWTPsmOsGRSiafH5XY0Jr9hR9irGKwCsRMleZkelwLaqOB5nN2ed8aN1fkPBOlJDfv5X22i9-5hfkl47q1NvsVbDQG5FMbcuX24mO6bujzms7mDlTL502g9-t1_Ok_ZjIqt-opAfHJH3PuTfSU_bEcppCq-zF70aIr3ZryfZz8_nl4uvxcXyy7fF2UWha2ymgmEL3HTIFTNV06seQCjRKTC9YNACigRqUTa8a-vaCKpN3-oOuICqR23YSVbsfOMf2syd3IR0o_BPemXlvvUrVSTTg5W8THxxkL8J3jyK7oXIOEJZQ5O0n3baRBjJaHJTUMNTiyeIs2u58tey5sCaBpPB-71B8L9nipMcbdQ0DMqRn6NEwaHkWOKWerqj6uBjDNQ_jEGQ28DIKLeBkfvAJMG7_w_3QL9PyONLTWtLI8krPweXvuaQ4S1ERc6h</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Holm, Torbjörn</creator><general>Thieme Medical Publishers</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20171101</creationdate><title>Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer</title><author>Holm, Torbjörn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-31807db17a3d46faf009a9ba0df9308019db1c9267b855d9e5df8cb07904f1cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Medicin och hälsovetenskap</topic><topic>Review</topic><topic>Review Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holm, Torbjörn</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Clinics in colon and rectal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holm, Torbjörn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer</atitle><jtitle>Clinics in colon and rectal surgery</jtitle><addtitle>Clin Colon Rectal Surg</addtitle><date>2017-11-01</date><risdate>2017</risdate><volume>30</volume><issue>5</issue><spage>357</spage><epage>367</epage><pages>357-367</pages><issn>1531-0043</issn><eissn>1530-9681</eissn><abstract>Abstract
Treatment results in rectal cancer have improved significantly during the recent two decades, but local control and survival after abdominoperineal excision (APE) have not improved to the same degree as that seen after anterior resection (AR). The reason for this is an increased risk of inadvertent bowel perforations and tumor involved margins after APE as compared with AR. The conventional synchronous combined APE has not been a standardized procedure and consequently oncological outcomes have varied considerably between different institutions and in different reports. With the new concept of APE, based on well-defined anatomical structures, the procedure can be categorized as intersphincteric APE, extralevator APE, and ischioanal APE. This article discusses the technical aspects and results from this approach.</abstract><cop>333 Seventh Avenue, New York, NY 10001, USA</cop><pub>Thieme Medical Publishers</pub><pmid>29184471</pmid><doi>10.1055/s-0037-1606113</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| title | Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer |
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