Laparoscopic extralevator abdominoperineal excision of the rectum: short-term outcomes of a prospective case series

Kipling, Sarah; Young, K.; Foster, Jake; Smart, Neil J.; Hunter, Andrew; Cooper, E.; Francis, Nader

doi:10.1007/s10151-013-1071-2

Cited by 22 publications

(15 citation statements)

References 32 publications

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“…Kipling et al [43] have reported a shorter hospital stay (7 days) than our study. Patients in their study followed an enhanced recovery programme and they included only laparoscopic procedures.…”

Section: Discussioncontrasting

confidence: 60%

Extralevator versus standard abdominoperineal excision for rectal cancer

Perdawood

Lund

2014

Tech Coloproctol

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We found low rates of positive CRM after APE compared with the literature. ELAPE did not reduce these rates, and although the local recurrence rate was lower, this did not reach statistical significance. ELAPE has significantly reduced the rate of intraoperative bowel perforation and can optimize low rectal cancer surgery in selected patients. We found no significant differences between the two procedures regarding wound-related complications. A tailored approach and a larger trial with longer follow-up are needed to evaluate long-term results.

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Section: Discussioncontrasting

confidence: 60%

Extralevator versus standard abdominoperineal excision for rectal cancer

Perdawood

Lund

2014

Tech Coloproctol

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“…16 16,24,27,39 the proportion of patients receiving radiotherapy ranged from 43% to 100%, and an omental plasty was used in 28% (n = 36) and described in 2 studies. 16 16,24,27,39 the proportion of patients receiving radiotherapy ranged from 43% to 100%, and an omental plasty was used in 28% (n = 36) and described in 2 studies.…”

Section: Perineal Wound Problems and Perineal Hernia After Biologicalmentioning

confidence: 99%

Perineal Wound Healing After Abdominoperineal Resection for Rectal Cancer

Musters

Buskens

Bemelman

et al. 2014

Diseases of the Colon &Amp; Rectum

156

119

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“…58–60 In the era of laparoscopic surgery, the routine use of rectus abdominis flaps seems counterintuitive and is likely to lead to longer-term abdominal wall problems. The acceptable outcomes associated with porcine dermal meshes offer an alternative solution, particularly if associated with cost savings due to shorter operating times, no need for plastic surgical input, and a reduction in hospital length of stay 61.…”

Section: Perineal Reconstruction Following Extralevator (El) Abdominomentioning

confidence: 99%

Porcine dermis implants in soft-tissue reconstruction: current status

Smart¹,

Bryan²,

Hunt³

et al. 2014

BTT

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Soft-tissue reconstruction for a variety of surgical conditions, such as abdominal wall hernia or pelvic organ prolapse, remains a challenge. There are numerous meshes available that may be simply categorized as either synthetic or biologic. Within biologic meshes, porcine dermal meshes have come to dominate the market. This review examines the current evidence for their use and the limitations of knowledge. Although there is increasing evidence to support their safety, long-term follow-up studies that support their efficacy are lacking. Numerous clinical trials that remain ongoing may help elucidate their precise role in soft-tissue reconstruction.

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Laparoscopic extralevator abdominoperineal excision of the rectum: short-term outcomes of a prospective case series

Abstract: Laparoscopic extralevator abdominoperineal excision can be safely performed without compromising short-term outcomes.

Cited by 22 publications

References 32 publications

Extralevator versus standard abdominoperineal excision for rectal cancer

Extralevator versus standard abdominoperineal excision for rectal cancer

Perineal Wound Healing After Abdominoperineal Resection for Rectal Cancer

Porcine dermis implants in soft-tissue reconstruction: current status

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