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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Selection and Outcomes in Abdominoperineal Resection.

Norbert Garcia-Henriquez1, Daniel J Galante1, John R T Monson1

  • 1Advent Health Medical Group, Center for Colon and Rectal Surgery, Orlando, FL, United States.

Frontiers in Oncology
|October 5, 2020
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Summary

Abdominoperineal resection remains crucial for rectal cancer management despite advances. This review details patient selection, indications, and outcomes for this essential surgical procedure.

Keywords:
extralevator abdominoeperineal excision (ELAPE)extrasphincteric APRindicationintersphincteric APRoutcomesselection

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Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Rectal Cancer Management

Background:

  • Surgical management of rectal cancer has evolved significantly since Miles' abdominoperineal resection and Heald's total mesorectal excision.
  • Despite neoadjuvant therapy advancements, abdominoperineal resection is still frequently required for rectal cancer patients.

Purpose of the Study:

  • To review the indications and patient selection criteria for abdominoperineal resection in rectal cancer.
  • To delineate the oncologic and overall outcomes associated with abdominoperineal resection.

Main Methods:

  • Literature review focusing on abdominoperineal resection for rectal cancer.
  • Analysis of patient selection, surgical indications, and outcomes data.

Main Results:

  • Abdominoperineal resection remains a necessary procedure for specific rectal cancer cases.
  • The review outlines key factors influencing the decision for abdominoperineal resection.
  • Oncologic and overall patient outcomes associated with the procedure are discussed.

Conclusions:

  • Careful patient selection is paramount for successful abdominoperineal resection.
  • Understanding the indications and outcomes is vital for optimizing rectal cancer treatment strategies.