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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.
Journal cover image

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