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. 2007 Aug;20(3):213-20.
doi: 10.1055/s-2007-984865.

Abdominoperineal resection: how is it done and what are the results?

W Brian Perry  1 , J Christopher Connaughton
Affiliations

Abdominoperineal resection: how is it done and what are the results?

W Brian Perry et al. Clin Colon Rectal Surg. 2007 Aug.

Abstract

Abdominoperineal resection (APR) for many years was the treatment of choice for most patients with rectal cancer. Recent advances in surgical technique and other treatment modalities have led to a marked increase in the rate of sphincter-sparing operations, with a concomitant decrease in APR. However, it is still necessary in selected patients, especially those with very distal tumors or poor sphincter function. This review will cover the history of APR, current operative strategy and complications, oncologic and quality of life results, as well as potential future advances.

Keywords: Rectal cancer; abdominoperineal resection; surgery.

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References

    1. Abraham N S, Davila J A, Rabeneck L, Berger D H, El-Serag H B. Increased use of low anterior resection for veterans with rectal cancer. Aliment Pharmacol Ther. 2005;21(1):35–41. - PubMed
    1. Schoetz D J., Jr Evolving practice patterns in colon and rectal surgery. J Am Coll Surg. 2006;203(3):322–327. - PubMed
    1. Nilsson P J. Omentoplasty in abdominoperineal resection: a review of the literature using a systematic approach. Dis Colon Rectum. 2006;49(3):1354–1361. - PubMed
    1. Miles W E. A method of performing abdominoperineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon. Lancet. 1908;2:1812–1813. - PubMed
    1. Ruo L, Guillem J G. Major 20th-century advancements in the management of rectal cancer. Dis Colon Rectum. 1999;42(5):563–578. - PubMed