Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

ERBB2/HER2 landscape and prognostic impact: large-scale, real-world analysis across solid cancers.

ESMO open·2026

Same author

Effective management of incidental findings in lung cancer screening: the role of the screening review meeting.

Clinical radiology·2025

Same author

Stereotactic Magnetic Resonance-Guided Daily Adaptive SABR (SMART) for Localised Non-Metastatic Pancreatic Cancer: First Reported Clinical Outcomes From the UK.

Clinical oncology (Royal College of Radiologists (Great Britain))·2024

Same author

Lateral Approach to the Cervical Spine to Manage Degenerative Cervical Myelopathy and Radiculopathy.

Acta neurochirurgica. Supplement·2023

Same author

Pooled safety analysis from phase III studies of trifluridine/tipiracil in patients with metastatic gastric or gastroesophageal junction cancer and metastatic colorectal cancer.

ESMO open·2022

Same author

Limited utility of plasma elafin as a biomarker for skin graft-versus-host disease following allogeneic stem cell transplantation.

Clinical and experimental dermatology·2021

Search research articles

Related Experiment Video

Updated: Apr 1, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Endoscopically assisted extralevator abdominoperineal excision.

N C Buchs¹, R Kraus¹, N J Mortensen¹

¹Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford, Oxford, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|October 11, 2015

Summary

Endoscopically assisted extralevator abdominoperineal excision (ELAPE) in the lithotomy position offers a safe and effective approach for rectal cancer. This technique provides excellent anterior dissection views, leading to clear margins and no operative complications in initial cases.

Keywords:

Abdominoperineal excision bottom up endoscopy extralevator laparoscopy transanal TME

More Related Videos

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Related Experiment Videos

Last Updated: Apr 1, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Area of Science:

Colorectal Surgery
Surgical Oncology
Minimally Invasive Procedures

Background:

Extralevator abdominoperineal excision (ELAPE) is favored for lower rectal cancers to improve resection margins.
Standard ELAPE, often in the prone position, presents challenges, especially anteriorly in male patients and in obese individuals.
Identifying the anterior plane during ELAPE can be difficult, potentially increasing risks.

Observation:

A novel endoscopically assisted extralevator abdominoperineal excision (ELAPE) technique was developed for the lithotomy position.
Three male patients with anorectal junction tumors received preoperative radiotherapy followed by this modified ELAPE.
The procedure was successfully performed in all cases without intraoperative complications like perforation.

Findings:

The endoscopically assisted ELAPE in lithotomy position demonstrated successful outcomes in all three patients.
Operation times varied, but no intraoperative perforations or other complications occurred.
Histopathology confirmed clear resection margins and intact mesorectal planes, with only one instance of manageable postoperative intestinal obstruction and no wound complications.

Implications:

Endoscopically assisted ELAPE in the lithotomy position is a viable alternative for managing lower rectal cancers.
This approach enhances visualization of the anterior dissection plane, potentially reducing complications.
Further studies are warranted to evaluate long-term oncological outcomes and broader applicability.