Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes.
Publication
, Journal Article
Hawkins, AT; Albutt, K; Wise, PE; Alavi, K; Sudan, R; Kaiser, AM; Bordeianou, L; Continuing Education Committee of the SSAT,
Published in: J Gastrointest Surg
August 2018
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.
Duke Scholars
Published In
J Gastrointest Surg
DOI
EISSN
1873-4626
Publication Date
August 2018
Volume
22
Issue
8
Start / End Page
1477 / 1487
Location
Netherlands
Related Subject Headings
- Survival Rate
- Surgery
- Rectal Neoplasms
- Quality of Life
- Proctectomy
- Perineum
- Patient Selection
- Neoplasm Recurrence, Local
- Margins of Excision
- Humans
Citation
APA
Chicago
ICMJE
MLA
NLM
Hawkins, A. T., Albutt, K., Wise, P. E., Alavi, K., Sudan, R., Kaiser, A. M., … Continuing Education Committee of the SSAT, . (2018). Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes. J Gastrointest Surg, 22(8), 1477–1487. https://doi.org/10.1007/s11605-018-3750-9
Hawkins, Alexander T., Katherine Albutt, Paul E. Wise, Karim Alavi, Ranjan Sudan, Andreas M. Kaiser, Liliana Bordeianou, and Liliana Continuing Education Committee of the SSAT. “Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes.” J Gastrointest Surg 22, no. 8 (August 2018): 1477–87. https://doi.org/10.1007/s11605-018-3750-9.
Hawkins AT, Albutt K, Wise PE, Alavi K, Sudan R, Kaiser AM, et al. Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes. J Gastrointest Surg. 2018 Aug;22(8):1477–87.
Hawkins, Alexander T., et al. “Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes.” J Gastrointest Surg, vol. 22, no. 8, Aug. 2018, pp. 1477–87. Pubmed, doi:10.1007/s11605-018-3750-9.
Hawkins AT, Albutt K, Wise PE, Alavi K, Sudan R, Kaiser AM, Bordeianou L, Continuing Education Committee of the SSAT. Abdominoperineal Resection for Rectal Cancer in the Twenty-First Century: Indications, Techniques, and Outcomes. J Gastrointest Surg. 2018 Aug;22(8):1477–1487.
Published In
J Gastrointest Surg
DOI
EISSN
1873-4626
Publication Date
August 2018
Volume
22
Issue
8
Start / End Page
1477 / 1487
Location
Netherlands
Related Subject Headings
- Survival Rate
- Surgery
- Rectal Neoplasms
- Quality of Life
- Proctectomy
- Perineum
- Patient Selection
- Neoplasm Recurrence, Local
- Margins of Excision
- Humans