Perineal and Pelvic Anatomy of Extralevator Abdominoperineal Excision for Rectal Cancer: Cadaveric Dissection

AÇAR H. İ., KUZU M. A.

DISEASES OF THE COLON & RECTUM, vol.54, no.9, pp.1179-1183, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 54 Issue: 9
  • Publication Date: 2011
  • Doi Number: 10.1097/dcr.0b013e318224256c
  • Journal Name: DISEASES OF THE COLON & RECTUM
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1179-1183
  • Keywords: Extralevator abdominoperineal excision, Rectal cancer, Pelvic autonomic nerves, Pelvic diaphragm, Superficial transverse perineal muscle, Perineal body, TOTAL MESORECTAL EXCISION, DENONVILLIERS FASCIA, RESECTION
  • Ankara University Affiliated: Yes

Abstract

BACKGROUND: Circumferential margin positivity and tumor perforations are the main reasons for the poor oncological outcome following standard abdominoperineal excision for low rectal cancer. The extralevator abdominoperineal excision approach has been developed to avoid "coning down" or "surgical waisting"; however, surgical education in this area has been neglected.