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An overview of Extralevator Abdominoperineal Excision (ELAPE) for low rectal cancer

Year 2017, Volume: 10 Issue: 2, 34 - 36, 01.06.2017

Abstract

APE for low rectal cancer is associated with high rate of tumor perforation, CRM involvement. It is well established that bowel perforation and CRM involvement are strong predictors of local recurrence and survival in rectal cancer. Extralevator Abdominoperineal Excision [ELAPE] avoids dissecting the mesorectum off the levator ani muscle and divides the levators laterally at their point of insertion to the pelvic bony-ligamentous ring. ELAPE is associated with slightly higher local complication in compare to conventional APE. A recent multicentre analysis has reported the use of ELAPE in reducing the CRM involvement and perforation rate. Here in, ELAPE has been discussed in view of the literature.

DİSTALDEKİ REKTAL KANSERLER İÇİN EKSTRALEVATOR ABDOMİNOPERİNEAL REZEKSİYON (ELAPE) TEDAVİSİ.

Year 2017, Volume: 10 Issue: 2, 34 - 36, 01.06.2017

Abstract

Abdominoperineal rezeksiyonlar (APR) sırasında tümör perforasyonu riski ve colorektal mezonun (KRM) kirlenmesi ihtimali yüksektir. Tümörün perforasyonu ve KRM tutulumu ameliyat sonrası erken nüksün önemli bir habercisidir. Ekstralevator APR yapılması ile KRM’nun diseksiyonu yapılmayacağı için, klasik yaklaşımda görülene göre daha az lokal nüks olduğu bilinmektedir. Konuyla ilgili olarak son zamanlarda ELAPE’nin nüksü azalttığına dair yayınlar artmaktadır. Burada, konu literatür verileri ışığında tartışılmıştır.

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Details

Other ID JA25CP89MS
Journal Section Collection
Authors

Bipradas Roy This is me

Prem Varghese Thambi This is me

Manas Kumar Roy This is me

Sudeep Banerjee This is me

Publication Date June 1, 2017
Submission Date June 1, 2017
Published in Issue Year 2017 Volume: 10 Issue: 2

Cite

Vancouver Roy B, Thambi PV, Roy MK, Banerjee S. An overview of Extralevator Abdominoperineal Excision (ELAPE) for low rectal cancer. JSurgArts. 2017;10(2):34-6.

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