Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (5): 6-10.doi: 10.6040/j.issn.1671-7554.0.2020.353

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Review and development of abdominoperineal resection

WANG Gang1, JIANG Zhiwei1,PAN Huafeng2   

  1. 1. Department of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing 210029, Jiangsu, China;
    2. Nanjing Medical University, Nanjing 211166, Jiangsu, China
  • Published:2022-09-27

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Abstract: Abdominoperineal resection(APR)is a classic surgical procedure for low rectal cancer. Its birth has laid the foundation for surgical treatment of rectal cancer. APR is still recommended in cases of extremely low location(<3 cm from the anus), invading sphincter and/or levator ani muscle, although low or even ultra-low rectal anterior resection has been achieved. The classic Miles APR has gradually faded away for it is traumatic and dangerous. Subsequently, other procedures have emerged, such as traditional APR, total mesorectum excision(TME)APR, and extralevator abdominoperineal excision(ELAPE)/modified ELAPE. Advances in minimally invasive surgery have made APR less traumatic and reduced the incidence of neurogenic dysfunction.

Key words: Abdominoperineal resection, Miles, Total mesorectal excision, Extralevator abdominoperineal excision, Minimally invasive surgery

CLC Number: 

  • R735.3
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