作者
H Ortiz, MA Ciga, P Armendariz, E Kreisler, A Codina-Cazador, J Gomez-Barbadillo, E Garcia-Granero, JV Roig, S Biondo, J Lujan, D Fraccalvieri, S Biondo, P Armendáriz, M de Miguel, A Espí, A Codina, MD Ruiz, E Espin, R Palasí, A Parajo, I Camps, M Piñol, E Pellicer, V Viciano, E Alonso, M Pera, T García, E Casal, J Garcia, M Rodríguez, Á Reina, J Roig, J Errasti, JA Múgica, J Gomez, R Rada, M Orelogio, N Uribe, J de Dios Franco, A Arroyo, JE Sierra, P Hernandez, J Paredes, G Martínez, M Garcia, G Carreño, J Cifuentes, J Monzón, O Maseda, D Huerga, C Pavel, F Gris, I Segura, P Palma, JG Díaz, JL Jiménez, F Pérez, V Portugal, JC Bernal, F Lluis, L Capitán, N Cáceres, J Martínez, A Estévez, MV Maestre, JM Díaz, M Reig, A Amaya, JA Carmona, FJ Jiménez, D Ribé i Serrat, I Prieto, D Garcia, T González de Francisco, A Turienzo, M Martinez, S del Valle, P Parra, F Romero, A Garcea, X Rodamilans de la O, A Pérez, G Ais, L Ortiz de Zarate, J Sánchez, R Estevan, A Sueiras, A Lamiquiz, A Larzabal, J Die, A Solana, FJ Blanco, AM Lage, JL Domínguez, P Dujovne, N Palencia, R García, R Adell, R Martínez, AM Huidobro, C Pastor, J Á Garijo, Á Carrillo, M del Coral de la Vega, M López
发表日期
2014/6
期刊
Journal of British Surgery
卷号
101
期号
7
页码范围
874-882
出版商
Oxford University Press
简介
Background
Abdominal perineal excision (APE) was originally described with levator ani removal for rectal cancer. An even wider, more aggressive extralevator resection for APE has been proposed. Although some surgeons are performing a very wide ‘extralevator APE (ELAPE)’, there are few data to recommend it routinely. This multicentre study aimed to compare outcomes of APE and ELAPE.
Methods
A multicentre propensity case-matched analysis comparing two surgical approaches (APE and ELAPE) was performed. All patients who underwent abdominoperineal resection of a rectal tumour were considered for the analysis. Tumour height was defined by magnetic resonance imaging measurement and patients with stage II–III tumours had neoadjuvant radiochemotherapy. Involvement of the circumferential resection margin (CRM) and intraoperative tumour perforation …
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H Ortiz, MA Ciga, P Armendariz, E Kreisler… - Journal of British Surgery, 2014