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
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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