Extralevator abdominoperineal excision versus conventional surgery for low rectal cancer: a single surgeon experience

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dc.authoridNessar, Gurel/0000-0002-3891-7565
dc.authoridDEMIRBAG, Ali E./0000-0003-3852-868X
dc.authoridNessar, Gurel/0000-0002-3891-7565
dc.authorwosidNESSAR, GUREL/AAC-3532-2020
dc.authorwosidNessar, Gurel/HPF-6502-2023
dc.authorwosidDEMIRBAG, Ali E./AAA-4186-2021
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidNessar, Gurel/AAM-1430-2020
dc.contributor.authorNessar, Gurel
dc.contributor.authorDemirbag, Ali Eba
dc.contributor.authorCelep, Bahadir
dc.contributor.authorElbir, Orhan Hayri
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:09:50Z
dc.date.available2024-08-04T20:09:50Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: Extralevator abdominoperineal excision (ELAPE) reduces the risk of positive circumferential resection margin (CRM) and of intraoperative perforation (IOP), both of which are associated with high local recurrence rates and poor survival outcomes for rectal cancer. The aim of this study was to compare the results of ELAPE with conventional abdominoperineal excision (APE) for low rectal cancer. Material and Methods: A total of 25 consecutive patients underwent ELAPE for low rectal cancer between November 2008 and September 2011. Fifty-six patients treated by conventional APE prior to 2008 were selected from our rectal cancer database for comparison as a historical cohort. Results: The mean follow-up was 44.7 months in the ELAPE group, and 70.6 months in the APE group. Patients undergoing ELAPE had a lower CRM positivity and IOP rate than APE (12% vs. 20%, p=0,531; 4% vs. 8,9%, p=0,826; respectively). The ELAPE group was associated with higher perineal wound complications than the APE group (16.0% vs. 1.8%, p=0.030). Local recurrence rates for patients in both groups did not differ significantly (4.0% vs. 3.6%, p=1.0). Conclusion: The results of this study suggest that ELAPE technique was associated with less CRM involvement and reduced rates of IOP but markedly higher rates of postoperative perineal complications occurred as compared to conventional surgery. ELAPE must be reserved for advanced low rectal cancers.en_US
dc.identifier.doi10.5152/UCD.2016.3251
dc.identifier.endpage247en_US
dc.identifier.issn1300-0705
dc.identifier.issn1308-8521
dc.identifier.issue4en_US
dc.identifier.pmid28149119en_US
dc.identifier.scopus2-s2.0-85010951346en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage244en_US
dc.identifier.trdizinid217037en_US
dc.identifier.urihttps://doi.org/10.5152/UCD.2016.3251
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/217037
dc.identifier.urihttps://hdl.handle.net/11616/92467
dc.identifier.volume32en_US
dc.identifier.wosWOS:000392193500004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectExtralevator abdominoperineal excisionen_US
dc.subjectmargin involvementen_US
dc.subjectperforationen_US
dc.subjectrectal canceren_US
dc.titleExtralevator abdominoperineal excision versus conventional surgery for low rectal cancer: a single surgeon experienceen_US
dc.typeArticleen_US

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