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Laparoscopic extralevator abdominal perineal excision of the rectum: The best of both worlds

Techniques in Coloproctology, ISSN: 1123-6337, Vol: 16, Issue: 1, Page: 73-75
2012
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Article Description

We report a combined laparoscopic and open technique for extralevator abdominal perineal excision of the rectum. The key steps are a laparoscopic rectal dissection limited distally by the coccyx. The open, prone, perineal dissection affords excellent views and allows a cylindrical specimen to be obtained. The resulting perineal defect is closed by a biological mesh. Extralevator abdominal perineal excision of the rectum offers a superior oncological specimen with reduced circumferential resection margin involvement compared to traditional techniques. Combined with a laparoscopic approach, this also has the potential to improve postoperative recovery and reduce morbidity. © Springer-Verlag 2011.

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