Ileal Conduit Construction After Exenteration (Bricker Conduit) Yuxiang Wen Scott R. Steele INDICATIONS/CONTRAINDICATIONS Each year approximately 40,000 new cases of rectal cancer are diagnosed in the United States, comprising nearly…
Posterior Sacrectomy and Reconstruction with Alloderm Aaron J. Quyn Peter M. Sagar INDICATIONS AND CONTRAINDICATIONS The ongoing evolution of surgical techniques for “higher and wider” multivisceral resections has been driven…
Lateral Lymph Node Dissection for Rectal Carcinoma Petr V. Tsarkov Inna Tulina INTRODUCTION/OBJECTIVES Recent progress in rectal cancer staging, development of surgical procedures including total mesorectal excision (TME) and nerve-sparing…
Anterior, Posterior, and Total Pelvic Exenteration Seth I. Felder Martin R. Weiser INDICATIONS/CONTRAINDICATIONS Pelvic exenteration is a radical approach to resecting pelvic disease, generally involving the rectum and pelvic viscera….
Laparoscopic Total Mesorectal Excision Antonio M. Lacy Beatriz Martín-Pérez INDICATIONS/CONTRAINDICATIONS Total mesorectal excision (TME) is defined as the en bloc removal of the rectum and its entire mesentery as indicated…
Extended Extralevator Abdominoperineal Resection Torbjörn Holm INDICATIONS Extended extralevator abdominoperineal resection (ELAPE) may be indicated in low, advanced rectal cancer where a less extensive procedure is likely to be non-radical…
Hand-Assisted Laparoscopic Abdominoperineal Resection Walter J. Peters Jr Winston M. T. Chan INDICATIONS/CONTRAINDICATIONS Advancements in surgical technique, improvements in neoadjuvant therapy, and a redefinition of what constitutes an adequate distal…
Robotic Abdominoperineal Resection (APR) Se-Jin Baek Seon-Hahn Kim INDICATIONS/CONTRAINDICATIONS Abdominoperineal resection (APR) has been a standard surgical treatment for rectal cancer since the first surgical case study was published by…
Laparoscopic Abdominoperineal Resection John H. Marks Joseph L. Frenkel INTRODUCTION While discussing laparoscopic abdominoperineal resection (APR), two major issues come to the forefront. One is the role of laparoscopic surgery…
Open Abdominoperineal Resection Wolfgang B. Gaertner Genevieve B. Melton-Meaux INDICATIONS/CONTRAINDICATIONS Abdominoperineal resection (APR) is generally performed for patients who have rectal adenocarcinoma, but it may also be performed for benign…
