Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes.

Journal Article (Journal Article;Review)

BACKGROUND: Management of low rectal cancer continues to be a challenge, and decision making regarding the need for an abdominoperineal resection (APR) in patients with low-lying tumors is complicated. Furthermore, choices need to be made regarding need for modification of the surgical approach based on tumor anatomy and patient goals. DISCUSSION: In this article, we address patient selection, preoperative planning, and intraoperative technique required to perform the three types of abdominoperineal resections for rectal cancer: extrasphincteric, extralevator, and intersphincteric. Attention is paid not only to traditional oncologic outcomes such as recurrence and survival but also to patient-reported outcomes and quality of life.

Full Text

Duke Authors

Cited Authors

  • Hawkins, AT; Albutt, K; Wise, PE; Alavi, K; Sudan, R; Kaiser, AM; Bordeianou, L; Continuing Education Committee of the SSAT,

Published Date

  • August 2018

Published In

Volume / Issue

  • 22 / 8

Start / End Page

  • 1477 - 1487

PubMed ID

  • 29663303

Electronic International Standard Serial Number (EISSN)

  • 1873-4626

Digital Object Identifier (DOI)

  • 10.1007/s11605-018-3750-9


  • eng

Conference Location

  • United States