Abdominoperineal Resection: How Is It Done and What Are the Results?

W. Brian Perry; J. Christopher Connaughton

doi:10.1055/s-2007-984865

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2007; 20(3): 213-220
DOI: 10.1055/s-2007-984865

Abdominoperineal Resection: How Is It Done and What Are the Results?

W. Brian Perry¹ , J. Christopher Connaughton¹

¹Department of Surgery, Colorectal Section, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas

Abstract

ABSTRACT

Abdominoperineal resection (APR) for many years was the treatment of choice for most patients with rectal cancer. Recent advances in surgical technique and other treatment modalities have led to a marked increase in the rate of sphincter-sparing operations, with a concomitant decrease in APR. However, it is still necessary in selected patients, especially those with very distal tumors or poor sphincter function. This review will cover the history of APR, current operative strategy and complications, oncologic and quality of life results, as well as potential future advances.

KEYWORDS

Rectal cancer - abdominoperineal resection - surgery

Full Text

References

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W Brian PerryM.D.

Department of Surgery, Colorectal Section, Wilford Hall Medical Center, 859 MSGS/MCSG

2200 Bergquist Dr., Ste. 1, Lackland AFB, San Antonio, TX 78236-5300

Email: William.perry1@us.af.mil