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…
Robotic Restorative Proctocolectomy Meagan M. Costedio INDICATIONS Restorative proctocolectomy is a technique used to reestablish intestinal continuity in patients who require complete removal of the colon and rectum. The most…
Pouch Configuration Paris P. Tekkis Constantinos Simillis INDICATIONS/CONTRAINDICATIONS The only reason for restorative proctocolectomy, through the formation of an ileal pouch-anal anastomosis (IPAA), is to avoid a permanent ileostomy. A…
Restorative Proctocolectomy: Laparoscopic Proctocolectomy and Ileal Pouch-Anal Anastomosis Piyush Aggarwal Tonia Young-Fadok DEFINITIONS Extent of Operation In order to clarify regarding naming conventions, this chapter will use the following terms….
