Robotic Abdominoperineal Resection: Cylindrical and Selective Cylindrical Approach

  • Slawomir MarecikEmail author
  • Ahmed Al-Khamis
  • Kunal Kochar
  • John J. Park


This chapter will review the specific advantages that robotic technology has to offer when performing abdominoperineal resection (APR), which historically has been considered a challenging operation. Several operative techniques will be discussed, including (1) robotic rectal mobilization with conventional perineal dissection, (2) the use of transabdominal levator and extralevator transection to simplify the perineal dissection, and (3) selective eccentric extralevator transection for eccentrically located tumors.


Robotic abdominoperineal resection Cylindrical approach Selective cylindrical approach APR 

Supplementary material

Video 13.1

Robotic abdominoperineal resection (MOV 610032 kb)

Video 13.2

ELAPE technique (MOV 188669 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Slawomir Marecik
    • 1
    • 2
    Email author
  • Ahmed Al-Khamis
    • 1
  • Kunal Kochar
    • 1
  • John J. Park
    • 1
  1. 1.Department of Colon and Rectal SurgeryAdvocate Lutheran General HospitalPark RidgeUSA
  2. 2.Department of Colorectal SurgeryUniversity of Illinois at ChicagoChicagoUSA

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