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Laparoscopic Abdominoperineal Resection

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Minimally Invasive Approaches to Colon and Rectal Disease

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Abstract

Abdominoperineal resection (APR) can be demanding due to several factors including variable pelvic anatomy, tumor size, prior radiation therapy, and patient body habitus. APR is employed for the management of patients with benign and malignant diseases. While the laparoscopic approach may make this a more technically demanding procedure, advantages for the surgeon include better visualization and the ability to avoid an abdominal incision altogether. For the patient, this approach translates into less pain, shorter hospital length of stay, and faster recovery. In this chapter we review the various techniques and outcomes of a laparoscopic APR.

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Author information

Authors and Affiliations

  1. Division of Colorectal Surgery of Colon and Rectal Surgery, University of Massachusetts Memorial Hospital Center, 67 Belmont Street, Suite 201, Worcester, MA, USA

    Jennifer S. Davids M.D. & Justin A. Maykel M.D.

Authors
  1. Jennifer S. Davids M.D.
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  2. Justin A. Maykel M.D.
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Corresponding author

Correspondence to Justin A. Maykel M.D. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

Electronic Supplementary Materials

Below is the link to the electronic supplementary material.

Laparoscopic abdominoperineal resection. Video by Scott R. Steele, MD (MP4 250,657 kb)

Laparoscopic rectosigmoid transection. Video by Brad Champagne, MD (MP4 27,387 kb)

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Davids, J.S., Maykel, J.A. (2015). Laparoscopic Abdominoperineal Resection. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

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