Results of individual extralevator abdominoperineal resection for locally advanced low rectal cancer

doi:10.3969/j.issn.1006-7795.2017.06.003

Abstract

Abstract: Objective To evaluate the safety and efficacy of individualized extralevator abdominoperineal excision (ELAPE) for locally advanced low rectal cancer.Methods Fifty-six patients who underwent individualized abdominoperineal resection (APR) based on magnetic resonance imaging (MRI) from June 2011 to June 2015 were evaluated. The main outcome measures were circumferential resection margin involvement, intraoperative perforation, postoperative complications, and local recurrence. Results During the study, fifty patients (89.3%) received preoperative chemoradiotherapy.The common complications included perineal wound infection (9/56, 16.1%), sexual dysfunction (5/41, 12.2%), urinary retention (4/56, 7.1%) and chronic perineal pain (3/56, 5.4%). A positive circumferential resection margin (CRM) was demonstrated in 3 (5.4%) patients, and intraoperative perforations occurred in 2 (3.6%) patient. The local recurrence was 3.6% at a median follow-up of 35 months (range, 12-60 months).Conclusion With adequate preoperative chemoradiotherapy and MRI precise guideline, individualized ELAPE might be a relatively safe and feasible approach for locally advanced low rectal cancer with acceptable oncological outcomes.

Key words: rectal cancer, individualized, extralevator abdominoperineal excision, complications, local recurrence

CLC Number:

R735.3⁺7

Han Jiagang, Wang Zhenjun, Wei Guanghui, Gao Zhigang, Yang Yong, Zhai Zhiwei, Zhao Baocheng. Results of individual extralevator abdominoperineal resection for locally advanced low rectal cancer[J]. Journal of Capital Medical University, 2017, 38(6): 795-799.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.06.003

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I6/795

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