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Extralevator abdominoperineal excision (Elape): A retrospective cohort study
INTRODUCTION: Extralevator abdominoperineal excision (ELAPE) is relatively new surgical technique for low rectal cancers. It is a more radical approach than conventional abdominoperineal excision (APE) with potentially better oncological outcome. The aim of this study was to analyse short term resul...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971229/ https://www.ncbi.nlm.nih.gov/pubmed/27508080 http://dx.doi.org/10.1016/j.amsu.2016.07.016 |
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author | Hanif, Zulfiqar Bradley, Alison Hammad, Ahmed Mukherjee, Arijit |
author_facet | Hanif, Zulfiqar Bradley, Alison Hammad, Ahmed Mukherjee, Arijit |
author_sort | Hanif, Zulfiqar |
collection | PubMed |
description | INTRODUCTION: Extralevator abdominoperineal excision (ELAPE) is relatively new surgical technique for low rectal cancers. It is a more radical approach than conventional abdominoperineal excision (APE) with potentially better oncological outcome. The aim of this study was to analyse short term results of ELAPE compared with conventional abdominoperineal excision. METHODS: Data were collected prospectively for 72 patients who underwent abdominoperineal excision (APE) for low rectal carcinomas from 2010 to 2014. Of these 24 patients underwent ELAPE with biological prosthetic mesh used to close the perineal defect. RESULTS: The median age of patients was 68 (37–87). Positive circumferential resection margin (1/24 vs. 8/48) and Intra operative perorations (0/24 vs. 6/48) compared favourably with ELAPE. CONCLUSIONS: Short term results from this study support that ELAPE has better oncological outcome. |
format | Online Article Text |
id | pubmed-4971229 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-49712292016-08-09 Extralevator abdominoperineal excision (Elape): A retrospective cohort study Hanif, Zulfiqar Bradley, Alison Hammad, Ahmed Mukherjee, Arijit Ann Med Surg (Lond) Original Research INTRODUCTION: Extralevator abdominoperineal excision (ELAPE) is relatively new surgical technique for low rectal cancers. It is a more radical approach than conventional abdominoperineal excision (APE) with potentially better oncological outcome. The aim of this study was to analyse short term results of ELAPE compared with conventional abdominoperineal excision. METHODS: Data were collected prospectively for 72 patients who underwent abdominoperineal excision (APE) for low rectal carcinomas from 2010 to 2014. Of these 24 patients underwent ELAPE with biological prosthetic mesh used to close the perineal defect. RESULTS: The median age of patients was 68 (37–87). Positive circumferential resection margin (1/24 vs. 8/48) and Intra operative perorations (0/24 vs. 6/48) compared favourably with ELAPE. CONCLUSIONS: Short term results from this study support that ELAPE has better oncological outcome. Elsevier 2016-07-20 /pmc/articles/PMC4971229/ /pubmed/27508080 http://dx.doi.org/10.1016/j.amsu.2016.07.016 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Hanif, Zulfiqar Bradley, Alison Hammad, Ahmed Mukherjee, Arijit Extralevator abdominoperineal excision (Elape): A retrospective cohort study |
title | Extralevator abdominoperineal excision (Elape): A retrospective cohort study |
title_full | Extralevator abdominoperineal excision (Elape): A retrospective cohort study |
title_fullStr | Extralevator abdominoperineal excision (Elape): A retrospective cohort study |
title_full_unstemmed | Extralevator abdominoperineal excision (Elape): A retrospective cohort study |
title_short | Extralevator abdominoperineal excision (Elape): A retrospective cohort study |
title_sort | extralevator abdominoperineal excision (elape): a retrospective cohort study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971229/ https://www.ncbi.nlm.nih.gov/pubmed/27508080 http://dx.doi.org/10.1016/j.amsu.2016.07.016 |
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