Short-term outcomes of the modified extralevator abdominoperineal resection for low rectal cancer (with videos).

摘要: Extralevator abdominoperineal resection had oncologic superiority with reduced local recurrence and improving survival rates. However, extended perineal resulted in complicated reconstructions. Therefore, a new surgical technique to overcome previous limitations is required. This study aims demonstrate procedure outcomes of the modified extralevator resection, which satisfies both an cylindrical convenient wound closure by modification dissection plane. From September 2011 February 2014, 12 consecutive patients (five males seven females) who underwent for low rectal cancer were evaluated. Intraoperative postoperative assessed. Pathologic evaluated results. The mean age was 55.3 ± 15.1 years, body mass index 21.8 ± 3.1 kg/m2. Ten (83.3 %) received preoperative chemoradiotherapy. operations performed five cases laparoscopic surgery, six open surgery one case robotic surgery. operation time 258.8 ± 58.0 min. There no conversions tumor perforations. Days first soft diet 4.7 ± 3.4 days, hospital stay 11.2 ± 4.7 days. Postoperative complications two grade I, II III. patient (8.3 %) positive circumferential margin, there recurrence. feasible safe direct closure.