Open Abdominoperineal Resection

  • Lin Wang
  • Jin Gu
  • Philip PatyEmail author


Low-lying cancers of the rectum and anal canal may require abdominoperineal resection (APR) to clear disease. Although APR may be performed with the patient in supine or prone position, we favor the supine lithotomy approach. Since this procedure may be associated with significant morbidity, preoperative screening and patient selection are important. In this chapter, we review the step-by-step procedure to perform open lithotomy APR.


Rectal cancer Open technique Lithotomy position Abdominoperineal resection 

Supplementary material

Video 24.1

In this video, the surgeon demonstrates his approach to open lithotomy abdominoperineal resection. (MP4 823439 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryPeking University Cancer HospitalBeijingPeople’s Republic of China
  2. 2.Division of Colon & Rectal Surgery, Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA

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