2015
DOI: 10.1111/codi.13144
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Endoscopically assisted extralevator abdominoperineal excision

Abstract: We report a good outcome in three patients after endoscopically assisted ELAPE. This approach allows the patient to be operated on in the lithotomy position giving excellent views of the anterior dissection.

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Cited by 16 publications
(13 citation statements)
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“…The combination of neoadjuvant chemoradiotherapy and ELAPE almost doubles the rate of perineal wound complications (31% for ELAPE vs 18% for cAPR)[5]. While new techniques and approaches have attempted to reduce the size of the perineal incision (and therefore reduce the risk of wound complications)[6], optimal management of perineal defects is still under investigation. The options include primary closure, myocutaneous flaps, and mesh reconstruction, including the use of a biological mesh.…”
Section: Introductionmentioning
confidence: 99%
“…The combination of neoadjuvant chemoradiotherapy and ELAPE almost doubles the rate of perineal wound complications (31% for ELAPE vs 18% for cAPR)[5]. While new techniques and approaches have attempted to reduce the size of the perineal incision (and therefore reduce the risk of wound complications)[6], optimal management of perineal defects is still under investigation. The options include primary closure, myocutaneous flaps, and mesh reconstruction, including the use of a biological mesh.…”
Section: Introductionmentioning
confidence: 99%
“…Twenty patients underwent a transanal rectal resection including taTME (16), endoscopic ELAPE (2) and completion proctectomy (2). Patient characteristics are shown in Table 1.…”
Section: Patient Characteristicsmentioning
confidence: 99%
“…A 65-year-old woman underwent a laparoscopic abdominoperineal excision of a low rectal tumour with transanal endoscopic assistance [2]. Anaesthesia was commenced with spinal injection of 2.5 mL 0.5% heavy bupivacaine and 0.3 mg diamorphine, followed by general anaesthesia.…”
Section: Dear Editormentioning
confidence: 99%