Progress of extralevator abdominoperineal excision for advanced low rectal cancer
WANG Zhen-jun
HAN Jia-gang
Abstract：Extralevator abdominoperineal excision (ELAPE), has been described as a method for improving the outcome of advanced low rectal cancer, probably because of more pelvic dissection and less positive circumferential resection margin (CRM). However, ELAPE might result in a significantly increased rate of perineal wound complications, urinary and sexual dysfunction and chronic perineal pain. Several studies suggest that ELAPE is not associated with deterioration in quality of life when compared with conventional APR. Individual ELAPE has the potential to reduce the risk of chronic perineal pain and sexual dysfunction without influenced the radical effect. Biologic meshes using in perineal reconstruction significantly reduce the operative time, length of stay in hospital and the cost per patient. Laparoscopic or robotic assistance enables ELAPE with acceptable perioperative and pathological outcomes. Although several studies show no benefit for ELAPE regarding oncological outcomes, ELAPE is still a milestone operation based on accurate surgery principle.
Keywords：extralevator abdominoperineal excisionabdominopefineal resectionrectal cancer
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 67-70 )