Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer

Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuv...
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Autor*in:	Lukić Dejan [verfasserIn] Radovanović Zoran [verfasserIn] Petrović Tomislav [verfasserIn] Breberina Milan [verfasserIn] Golubović Andrija [verfasserIn] Škorić-Jokić Svetlana [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Rectal Neoplasms Surgical Procedures Operative Digestive System Surgical Procedures

Übergeordnetes Werk:	In: Archive of Oncology - Institute of Oncology, Sremska Kamenica, Serbia, 2018, 21(2013), 1, Seite 11-13
Übergeordnetes Werk:	volume:21 ; year:2013 ; number:1 ; pages:11-13

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.2298/AOO1301011L

Katalog-ID:	DOAJ012866504

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allfields_unstemmed	10.2298/AOO1301011L doi (DE-627)DOAJ012866504 (DE-599)DOAJ61498d8aee7e4f45bfa7eceb05d4df13 DE-627 ger DE-627 rakwb eng RC254-282 Lukić Dejan verfasserin aut Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement. Rectal Neoplasms Surgical Procedures Operative Digestive System Surgical Procedures Neoplasms. Tumors. Oncology. Including cancer and carcinogens Radovanović Zoran verfasserin aut Petrović Tomislav verfasserin aut Breberina Milan verfasserin aut Golubović Andrija verfasserin aut Škorić-Jokić Svetlana verfasserin aut In Archive of Oncology Institute of Oncology, Sremska Kamenica, Serbia, 2018 21(2013), 1, Seite 11-13 (DE-627)538997974 (DE-600)2380839-1 14509520 nnns volume:21 year:2013 number:1 pages:11-13 https://doi.org/10.2298/AOO1301011L kostenfrei https://doaj.org/article/61498d8aee7e4f45bfa7eceb05d4df13 kostenfrei http://www.doiserbia.nb.rs/img/doi/0354-7310/2013/0354-73101301011L.pdf kostenfrei https://doaj.org/toc/0354-7310 Journal toc kostenfrei https://doaj.org/toc/1450-9520 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 11-13
allfieldsGer	10.2298/AOO1301011L doi (DE-627)DOAJ012866504 (DE-599)DOAJ61498d8aee7e4f45bfa7eceb05d4df13 DE-627 ger DE-627 rakwb eng RC254-282 Lukić Dejan verfasserin aut Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement. Rectal Neoplasms Surgical Procedures Operative Digestive System Surgical Procedures Neoplasms. Tumors. Oncology. Including cancer and carcinogens Radovanović Zoran verfasserin aut Petrović Tomislav verfasserin aut Breberina Milan verfasserin aut Golubović Andrija verfasserin aut Škorić-Jokić Svetlana verfasserin aut In Archive of Oncology Institute of Oncology, Sremska Kamenica, Serbia, 2018 21(2013), 1, Seite 11-13 (DE-627)538997974 (DE-600)2380839-1 14509520 nnns volume:21 year:2013 number:1 pages:11-13 https://doi.org/10.2298/AOO1301011L kostenfrei https://doaj.org/article/61498d8aee7e4f45bfa7eceb05d4df13 kostenfrei http://www.doiserbia.nb.rs/img/doi/0354-7310/2013/0354-73101301011L.pdf kostenfrei https://doaj.org/toc/0354-7310 Journal toc kostenfrei https://doaj.org/toc/1450-9520 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 11-13
allfieldsSound	10.2298/AOO1301011L doi (DE-627)DOAJ012866504 (DE-599)DOAJ61498d8aee7e4f45bfa7eceb05d4df13 DE-627 ger DE-627 rakwb eng RC254-282 Lukić Dejan verfasserin aut Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement. Rectal Neoplasms Surgical Procedures Operative Digestive System Surgical Procedures Neoplasms. Tumors. Oncology. Including cancer and carcinogens Radovanović Zoran verfasserin aut Petrović Tomislav verfasserin aut Breberina Milan verfasserin aut Golubović Andrija verfasserin aut Škorić-Jokić Svetlana verfasserin aut In Archive of Oncology Institute of Oncology, Sremska Kamenica, Serbia, 2018 21(2013), 1, Seite 11-13 (DE-627)538997974 (DE-600)2380839-1 14509520 nnns volume:21 year:2013 number:1 pages:11-13 https://doi.org/10.2298/AOO1301011L kostenfrei https://doaj.org/article/61498d8aee7e4f45bfa7eceb05d4df13 kostenfrei http://www.doiserbia.nb.rs/img/doi/0354-7310/2013/0354-73101301011L.pdf kostenfrei https://doaj.org/toc/0354-7310 Journal toc kostenfrei https://doaj.org/toc/1450-9520 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 11-13
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author	Lukić Dejan
spellingShingle	Lukić Dejan misc RC254-282 misc Rectal Neoplasms misc Surgical Procedures misc Operative misc Digestive System Surgical Procedures misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer
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topic_title	RC254-282 Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer Rectal Neoplasms Surgical Procedures Operative Digestive System Surgical Procedures
topic	misc RC254-282 misc Rectal Neoplasms misc Surgical Procedures misc Operative misc Digestive System Surgical Procedures misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_unstemmed	misc RC254-282 misc Rectal Neoplasms misc Surgical Procedures misc Operative misc Digestive System Surgical Procedures misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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title	Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer
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title_full	Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer
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title_sort	oncologic superiority of extralevator abdominoperineal excision for low rectal cancer
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title_auth	Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer
abstract	Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement.
abstractGer	Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement.
abstract_unstemmed	Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement.
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title_short	Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer
url	https://doi.org/10.2298/AOO1301011L https://doaj.org/article/61498d8aee7e4f45bfa7eceb05d4df13 http://www.doiserbia.nb.rs/img/doi/0354-7310/2013/0354-73101301011L.pdf https://doaj.org/toc/0354-7310 https://doaj.org/toc/1450-9520
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This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients’ medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Rectal Neoplasms</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Surgical Procedures</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Operative</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Digestive System Surgical Procedures</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Neoplasms. Tumors. Oncology. 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Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer

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