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
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.
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.
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.
Surgery-associated data ERAS Group n (%) Type of surgery Transit reconstruction 5 (8.8) Right hemicolectomy 22 (38.6) Left hemicolectomy 7 (12.3) Sigmoidectomy 14 (24.6) Lower anterior resection 5 (8.8) Hartmann 1 (1.8) Abdominoperineal
resection 3 (5.3) Laparoscopy 20 (35.1) Open surgery 37 (64.9) Mean hospital stay (days) Mean [+ or -] SD 10.1 [+ or -] 3.9 Patients with no complications 36 (63.2) Clavien--Dindo complications 21 (36.8) 1 4 (19) 2 7 (33.3) 3 8 (38.1) 4 0 (0.0) 5 2 (9.5) ICU 2 (3.5) Readmission at 30 days 5 (8.8) Mortality 2 (3.5) Pain (0-10) 2 (0-5) ERAS=Enhanced Recovery After Surgery; SD = Standard deviation.