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Laparoscopic Abdominoperineal Resection

  • Jennifer S. Davids
  • Justin A. Maykel
Chapter

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.

Keywords

Seminal Vesicle Total Mesorectal Excision Myocutaneous Flap Perineal Wound Biologic Mesh 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 12.1

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

Video 12.2

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

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Colorectal Surgery of Colon and Rectal SurgeryUniversity of Massachusetts Memorial Hospital CenterWorcesterUSA

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