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Topic: Abdominoperineal resection

	Laparoscopic abdominoperineal resection
		The objective of his paper is to describe the surgical technique and report our initial results in laparoscopic abdominoperineal resection.
		One patient with stage B2 adenocarcinoma and two patients, C1, were operated on by laparoscopic abdominoperineal resection.
		We conclude that laparoscopic abdominoperineal resection is similar to traditional abdominoperineal resection.
	www.imbiomed.com.mx /Circiruj/Ccv68n1/english/Zcc001-03.html (124 words)

	Types of Surgery: Rectum
		Abdominoperineal resection is performed for very low lesions in the rectum (lower third--within 5 cm of anal verge).
		An abdominoperineal resection, in addition to removing the entire rectum, most of the sigmoid colon, the mesocolon and its regional lymph nodes, removes the anal sphincter and leaves the patient with a permanent colostomy.
		An Anterior/ Posterior resection preserves the anal sphincter and preserves bowel continuity by creating an anastomosis after the segment of bowel containing the tumor is removed.
	training.seer.cancer.gov /ss_module04_colon/unit04_sec03_treatment.html (335 words)

	Cancer Spectrum: Medline Abstract (Site not responding. Last check: 2007-11-04)
		Abdominoperineal resections for rectal carcinoma are being performed with decreasing frequency in favor of sphincter-saving resections.
		For the purpose of this study, 232 patients undergoing abdominoperineal resection and 181 subjected to sphincter-saving resections were available for analysis from an NSABP randomized prospective clinical trial designed to ascertain the efficacy of adjuvant therapy in rectal carcinoma (protocol R-01).
		The inability to demonstrate an attenuated disease-free survival and survival for patients treated with sphincter-saving resection was in spite of an increased incidence of local recurrence (anastomotic and pelvic) observed for the latter operation when compared to abdominoperineal resection (13% vs. 5%).
	jncicancerspectrum.oxfordjournals.org /cgi/medline/pmid;3532972 (529 words)

	Treating Colorectal Cancer with Proctectomy - Cancer Treatment Centers of America
		A rectum resection (protectomy) is an inpatient procedure involving the surgical excision, or removal, of the cancerous portion(s) of the rectum.
		Low anterior resection (LAR) – Low anterior resection involves the surgical removal of cancers located in the upper part of the rectum, which is closest to the S-shaped sigmoid colon.
		Abdominoperineal resection (APR) – Abdominoperineal resection is used to treat cancers located in the lower part of the rectum.
	www.cancercenter.com /colorectal-cancer/proctectomy.cfm (352 words)

	The latest Gastrointestinal Endoscopy News from all over world - Endoscopy.RU - Russian Official Internet Project on ...
		A retrospective review was performed of all abdominoperineal resections done in our center between 1992 and 2000, comparing the cancer-specific outcomes of the laparoscopic cohort with the open cohort.
		There was no difference in the number of lymph nodes harvested from the resected specimens, and the distance to the lateral margins or involvement of tumor in the lateral margins between the two groups was the same.
		Laparoscopic abdominoperineal resection of the rectum for cancer does not compromise cancer-specific survival outcomes.
	www.endoscopy.ru /view_news_eng.html?id=6256 (285 words)

	ACS :: Surgery
		Local resection is used if the cancer is small and has not spread to nearby tissues or lymph nodes.
		Abdominoperineal resection (APR): The other surgical method is a more extensive operation known as an abdominoperineal resection.
		The term means that the surgeon opens the body through the abdomen and through the perineum (the space between the anus and the external genitals) and removes the anus and part of the rectum.
	www.cancer.org /docroot/CRI/content/CRI_2_4_4X_Surgery_47.asp?sitearea=CRI&viewmode=print& (322 words)

	Measurement of ventilatory reserve as an indicator for early extubation after cardiac operation. (Site not responding. Last check: 2007-11-04)
		Blood loss and hypovolaemic shock affect the immune system significantly and perioperative blood transfusion has been shown to be associated with a higher rate of tumour recurrence in patients with cancer and increased susceptibility to infectious complications.
		Data obtained from patients undergoing synchronous abdominoperineal excision of the rectum were analysed to assess whether such surgery is feasible without transfusion.
		Abdominoperineal resection with minimal blood transfusion is feasible in unselected patients.
	www.md.ucl.ac.be /mont/chirurg/chirgen/deca93.htm (154 words)

	Therapy of Colorectal Cancer - September 2001: 709036 (Site not responding. Last check: 2007-11-04)
		Tumour resection with microscopically negative margins had a statistically significant positive effect on the local control and disease-free survival in both groups as well as on the survival in the locally advanced primary patient group.
		Resection was not performed in 13 (29%) of the 45 patients because of metastases detected before resection or patient refusal.
		Thirty-eight patients underwent surgical resection: abdominoperineal resection, anterior resection, and Hartmann's procedure were performed in 55 percent, 39 percent (11 of 15 patients had a diverting stoma), and 5 percent, respectively.
	www.acor.org /cnet/709036.html (12936 words)

	The Texas Cancer Center
		The rectal end of the resection is technically difficult, because the surgeon must operate deep inside the pelvis, where vision and room to operate are limited.
		It enabled surgeons to resect rectal tumors and staple the remaining colon to a short segment of remaining rectum, using a circular row of tiny metal staples.
		The choice among anterior resection, the pull-through and abdominoperineal resection of the rectum.
	www.texascancercenter.com /rectal.html (5370 words)

	[No title] (Site not responding. Last check: 2007-11-04)
		N ation compared with abdominoperineal resection because it provides go 1 ound 16 years after abdominoperineal resection (APR).
		We report this case t 2 in pigments, and an abdominoperineal resection was performed, the histology 3 n alternative to an abdominoperineal resection in selected patients.
		11 ical resection with abdominoperineal resection with adjuvant chemothe 12 rmerly treated with abdominoperineal resection.
	www.ugr.es /~oncoterm/csdata/Apres.txt (73 words)

	[No title] (Site not responding. Last check: 2007-11-04)
		For the pathologist, the R classification is relevant to the status of the margins of a surgical resection specimen.
		That is, tumor involving the resection margin on pathologic examination may be assumed to correspond to residual tumor in the patient and may be classified as macroscopic or microscopic according to the findings at the specimen margin(s).
		Resectable adenocarcinoma of the rectosigmoid and rectum, I: patterns of failure and survival.
	www.cap.org /apps/docs/cancer_protocols/ColonRectum04_pw.doc (6276 words)

	Anal cancer: 100022 (Site not responding. Last check: 2007-11-04)
		Abdominoperineal resection leading to permanent colostomy was previously thought to be required for all but small anal cancers below the dentate line, with approximately 70% of patients surviving 5 or more years in single institutions,
		Standard treatment options: Surgical resection is used for treatment of lesions of the perianal area not involving the anal sphincter (approach depends on the location of the lesion in the anal canal).
		Radical resection is reserved for continued residual or recurrent cancer in the anal canal after nonoperative therapy.
	www.acor.org /cnet/100022.html (1721 words)

	total anorectal reconstruction: abstracts (Site not responding. Last check: 2007-11-04)
		A series of 47 patients undergoing abdomino-perineal resection of the distal colon and anorectum and construction of a continent perineal colostomy using electrostimulated gracilis muscle is described.
		In patients with a very low rectal carcinoma, an abdominoperineal resection with the creation of a permanent colostomy is the surgical treatment of choice.
		Double dynamic graciloplasty after abdominoperineal resection proves to be an oncologically safe procedure with a reasonable chance of continence and a life without a stoma in the majority of patients.
	www-cdu.dc.med.unipi.it /gpe/tarefa.htm (2384 words)

	Cancer Control Journal: Avoiding Colostomy With Conservative Multimodality Management of Distal Rectal Cancer (Site not responding. Last check: 2007-11-04)
		While abdominoperineal resection with permanent colostomy has been the surgical benchmark in the treatment of distal rectal carcinoma, different approaches to treatment have been sought for decades to decrease the morbidity and mortality associated with radical surgical procedures for this disease.
		The proximal descending colon is prepared for anastomosis by mobilizing the splenic flexure and transecting the inferior mesenteric vein and mesentery to the level of the middle colic vessels.
		Anterior resection versus abdominoperineal resection for cancer of the rectum and rectosigmoid: an analysis of 524 cases.
	www.moffitt.usf.edu /pubs/ccj/v3n1/article3.html (4439 words)

	December issue.indd
		Anterior resection of the rectum with colorectal or coloanal anastomosis is now the treatment of choice for these cancers.
		The aim of this study was to determine the proportion of patients not suitable for restorative surgery, despite an aggressive and consistent policy of sphincter preservation, and to re-appraise the validity of the CSBS standards in contemporary practice.
		It is possible that some of the patients who underwent abdominoperineal excision could have had intestinal continuity restored with interspincteric resection and coloanal anastomosis, but further evaluation of the long-term oncological and functional results of this technique is required to define its role in the management of rectal cancer.
	www.rcsed.ac.uk /journal/svol1_6/10600005.html (2200 words)

	Increased use of low anterior resection for veterans with rectal cancer
		Two surgical procedures with curative intent are available to patients with rectal cancer: lower anterior resection and abdominoperineal resection.
		The use of lower anterior resection increased from 40.0% (1989-91) to 50.1% (1998-2000), paralleled by a corresponding decline in abdominoperineal resection (60.1 to 49.9%; P < 0.001).
		An increase in the use of lower anterior resection for rectal cancer was observed over time.
	www.ices.on.ca /webpage.cfm?site_id=1&org_id=32&morg_id=0&gsec_id=2768&item_id=2768&category_id=59 (250 words)

	How Is Surgery Performed? (Site not responding. Last check: 2007-11-04)
		During bowel resection, the surgeon removes the diseased portion of the bowel.
		Abdominoperineal rection is an operation during which the entire rectum and anal canal are removed.
		Abdominoperineal refers to the fact that a "double approach" is required to remove the tumor.
	www.ehealthmd.com /library/colon-cancer/Colon-Cancer_surgery.html (1267 words)

	Therapy of Colorectal Cancer - July 2001: 707036 (Site not responding. Last check: 2007-11-04)
		CONCLUSION: The abdominosacral resection provides wide access and may be the therapeutic solution for the accomplishment of a radical resection for distally situated, dorsally or dorsolaterally fixed primary or locally recurrent rectal cancers.
		The rates of abdominal wound infection and anastomotic leak in laparoscopic colorectal resection appear to be equivalent to traditional surgery, whereas the rate of perineal wound sepsis is lower.
		The functional results were satisfactory and the construction of a colonic J pouch is recommended during low rectal resection, if the defecation pattern and the quality of life is to improve, especially within the first postoperative year.
	www.acor.org /cnet/707036.html (15972 words)

	Therapy of Colorectal Cancer - June 2001: 706036 (Site not responding. Last check: 2007-11-04)
		AB - Since Miles proposed abdominoperineal excision as a radical surgery for rectal cancer in 1908, surgeons have recognized the lateral ligament in the pararectal space of their patients and attached clinical importance to it, although anatomists did not describe any such configuration in cadavers.
		A complete resection with negative resection margin was done in 18 patients (85.7%), in 2 of whom a pathologic complete response was shown (9.5%).
		Therefore, at this point of time a distal resection margin of 2 cm, total mesorectal excision, en-bloc resection of adherent structures, colonic pouch reconstruction after very deep resections and limitation of local excision to T1/G1 tumors have to be regarded as standards of the surgical strategy.
	www.acor.org /cnet/706036.html (15729 words)

	Anal Cancer and HPV - Treatment - LGBT Health Channel - Gay Men (Site not responding. Last check: 2007-11-04)
		A local surgical resection (removal) of the tumor and a small amount of surrounding tissue may suffice in cases of Stage 0 cancer, where the cancer has not metastasized and does not affect the sphincters.
		In later stages, where cancer has spread, a surgeon may perform an abdominoperineal resection to remove affected tissue, lymph nodes, or sections of or organs in the abdomen.
		Abdominoperineal resection is used less frequently because radiation and chemotherapy are effective and do not require a colostomy.
	www.gayhealthchannel.com /msmcancer/treatment.shtml (515 words)

	CancerLIT: 707036
		This is because of the necessity both to achieve a sufficient distal margin and to preserve the whole of the anal sphincter.
		The aim of this study was to evaluate morbidity, oncologic, and functional results of intersphincteric resection with excision of the internal anal sphincter and low coloanal anastomosis for carcinomas of the anorectal junction.
		Rectal resection with a minimum distal margin of 2 (mean, 2.4) cm was performed in all cases; six patients underwent partial resection of the internal sphincter, and ten patients had a subtotal resection.
	cancerweb.ncl.ac.uk /cancernet/cancerlit/707036.html (1175 words)

	The Cleveland Clinic:Laparoscopic Abdominoperineal Resection
		A laparoscopic abdominoperineal resection is an operation in which the anus, rectum, and sigmoid colon are removed.
		It is used to treat cancer located very low in the rectum or in the anus, close to the sphincter muscles (muscles that control bowel movements).
		An abdominoperineal resection is completed in 4 main steps.
	healthboards.webmd.com /content/article/45/1811_50468.htm (711 words)

	American Family Physician: Local treatment of rectal cancer (Site not responding. Last check: 2007-11-04)
		Approximately 37,000 new cases of rectal cancer are diagnosed each year in the United States.[1] The overall survival rate for individuals with rectal cancer is approximately 50 percent.[2] Tumors of the distal rectum have classically been treated by abdominoperineal resection, which is associated with significant morbidity and mortality and leaves patients with a permanent colostomy.
		Abdominoperineal resection is performed to remove cancer from the rectal wall as well as the draining lymph nodes.
		The morbidity rate for abdominoperineal resection in these patients has been approximately 50 percent in several series.[2,30] In addition, patients who have undergone this procedure are faced with the psychosocial stresses and other disadvantages of living with a permanent colostomy.
	www.findarticles.com /p/articles/mi_m3225/is_n6_v56/ai_19988697 (934 words)

	Immediate reconstruction of the perineal wound with gracilis muscle flaps following abdominoperineal resection and ...
		Immediate reconstruction of the perineal wound with gracilis muscle flaps following abdominoperineal resection and intraoperative radiation therapy for recurrent carcinoma of the rectum -- Shibata et al.
		Immediate reconstruction of the perineal wound with gracilis muscle flaps following abdominoperineal resection and intraoperative radiation therapy for recurrent carcinoma of the rectum
		From 1990 to 1995, 16 patients underwent abdominoperineal
	www.annalssurgicaloncology.org /cgi/content/abstract/6/1/33 (423 words)

	ACS :: Treatment by Stage of Rectal Cancer
		Primary surgery is usually either low anterior resection or abdominoperineal resection, depending on exactly where the cancer is found within your rectum.
		Stage II rectal cancers are usually treated by low anterior resection or abdominoperineal resection, along with both chemotherapy and radiation therapy.
		The rectal tumor is usually removed by low anterior resection or abdominoperineal resection.
	www.cancer.org /docroot/CRI/content/CRI_2_4_4X_Treatment_by_Stage_of_Rectum_Cancer.asp?sitearea (960 words)

	Selection factors for local excision or abdominoperineal resection of early stage rectal cancer (Site not responding. Last check: 2007-11-04)
		This study reviews the experience of patients with early stage rectal cancer managed by local excision or abdominoperineal resection to clarify the relative indications and results of these two approaches.
		For patients undergoing abdominoperineal resection, the 5-year actuarial recurrence-free survival and local control of 49 patients with favorable histologic features was 91% and 91%, respectively.
		In contrast, patients with T1 and T2 tumors having poorly differentiated histologic features and/or venous/lymph vessel involvement undergoing local excision or abdominoperineal resection appeared to have decreased rates of survival and of local control.
	www.meb.uni-bonn.de /cgi-bin/mycite?ExtRef=MEDL/94251708 (273 words)

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