Exploring minimally invasive options: Laparoscopic transabdominal levator transection for low rectal cancers Article Swipe

View

Related Concepts

Medicine Rectum Surgery Levator ani Pelvic floor Perforation Pelvis Abdominoperineal resection Colorectal cancer Cancer Internal medicine Metallurgy Punching Materials science

Fadl H. Veerankutty , Sidharth Chacko , VipinI Sreekumar , K. C. Prasad , Deepak Varma , Prakash Kurumboor ·

YOU? · · 2018 · Open Access · · DOI: https://doi.org/10.4103/jmas.jmas_130_18 · OA: W2886812578

Extralevator abdominoperineal excision (ELAPE) of the rectum offers wider circumferential margin and decreased rate of intraoperative tumour perforation. However, the need to change the position of the patient in between abdominal and perineal stages of the procedure and extended perineal resection result in increased morbidity and operative time. Evolving technique of laparoscopic transabdominal controlled division of levator ani muscles under direct vision could address these issues while providing all benefits of ELAPE for patients with low rectal cancers.