Extralevator abdominoperineal excision for advanced low rectal cancer:Where to go

作     者：Yu Tao Jia-Gang Han Zhen-Jun Wang 

作者机构：Department of General SurgeryBeijing Chaoyang HospitalCapital Medical UniversityBeijing 100020China 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2020年第26卷第22期

页      面：3012-3023页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Extralevator abdominoperineal excision Advanced rectal cancer Advantages Complications Pelvic reconstruction Intraoperative position Trans-perineal approach Laparoscopic/robotic-extralevator abdominoperineal excision Individual-extralevator abdominoperineal excision 

摘      要：Since its introduction,extralevator abdominoperineal excision(ELAPE)in the prone position has gained significant attention and recognition as an important surgical procedure for the treatment of advanced low rectal *** studies suggest that because of adequate resection and precise anatomy,ELAPE could decrease the rate of positive circumferential resection margins,intraoperative perforation,and may further decrease local recurrence rate and improve *** studies show that extensive resection of pelvic floor tissue may increase the incidence of wound complications and urogenital ***/robotic ELAPE and trans-perineal minimally invasive approach allow patients to be operated in the lithotomy position,which has advantages of excellent operative view,precise dissection and reduced postoperative *** floor reconstruction with biological mesh could significantly reduce wound complications and the duration of *** proposal of individualized ELAPE could further reduce the occurrence of postoperative urogenital dysfunction and chronic perianal *** ELAPE procedure emphasizes precise anatomy and conforms to the principle of radical resection of tumors,which is a milestone operation for the treatment of advanced low rectal cancer.