The treatment of ARM has evolved from a simple cutback/translocation anoplasty to
abdominoperineal pull through, and its modification to the currently practiced procedure of posterior sagittal anorectoplasty (PSARP).
Although TME assessment is a nonmandatory data element in the protocol of the College of American Pathologists (CAP), the latest edition of the Royal College of Pathologists of the United Kingdom (RCPath[UK]) data set includes TME assessment as a mandatory element and additionally requires assessment of the plane of excision of the levator/sphincter area around the anal canal in
abdominoperineal resection specimen.
Successful treatment has been reported with methods, such as
abdominoperineal resection (APR) and pelvic exenteration, using wide local excision.
Since being diagnosed she has had chemotherapy, lung surgery,
abdominoperineal resection surgery and now has a permanent stoma bag and is on dialysis.
Perineal and pelvic anatomy of extralevator
abdominoperineal excision for rectal cancer: cadaveric dissection.
There were 7(5.88%) conversions to open surgery during the initial training phase of robotic surgery which included 2(1.6%)
abdominoperineal resections, 2(1.6%) prostatectomies, 2(1.6%) hysterectomies, 1(0.8%) cholecysetctomy.
Background: The introduction of individualized
abdominoperineal excision (APE) may minimize operative trauma and reduce the rate of complications.
Abdominoperineal excision (APE) was the standard of care for anal canal squamous cell carcinoma before the introduction of radiotherapy with induction chemotherapy.
The exclusion criteria were determined to be patients with palliative resection, distant organ metastasis, subtotal colectomy, total proctocolectomy,
abdominoperineal resection, Hartmann procedure or pull-through procedures, and those with insufficient medical file information.
Abdominoperineal pull-through was performed in patient's first month of life.
After about one month, the patient underwent
abdominoperineal resection of the rectum, which relieved his anal pain, but subsequently he developed perineal pain and dysuria.