Application of extralevator abdominoperineal excision for low rectal carcinoma
10.3760/cma.j.issn.1671-0274.2014.06.004
- VernacularTitle:肛提肌外腹会阴联合直肠切除术治疗低位直肠癌
- Author:
Pan CHI
1
;
Zhifen CHEN
Author Information
1. 福建医科大学附属协和医院结直肠外科
- Keywords:
Rectal neoplasms,low;
Abdominoperineal excision;
Extralevator abdominoperineal excision;
Individualized therapy;
Complications
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(6):534-539
- CountryChina
- Language:Chinese
-
Abstract:
It has been reported that the conventional abdominoperineal excision has the disadvantages of higher rates of positive circumferential resection margin and intraoperative bowel perforation, which affect the prognosis. The technique of extralevator abdominoperineal excision proposed by Holm et al is used to overcome these disadvantages. But this new concept of abdominoperineal excision causes other new problems, such as increased complexity, major trauma and more complications. With further studies, the advanced knowledge about the indications, modifications and complications of this technique has been obtained by the domestic and overseas surgeons. This article reviews the characteristics of extralevator abdominoperineal excision and its indications , research progress and major associated complications.
