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Related Experiment Videos

Early experience with laparoscopic abdominoperineal resection

J S Wu1, E H Birnbaum, J W Fleshman

  • 1Section of Colon and Rectal Surgery, Department of Surgery, Jewish Hospital, Washington University School of Medicine, 216 S. Kingshighway, St. Louis, MO 63110, USA.

Surgical Endoscopy
|May 1, 1997
PubMed
Summary

Laparoscopic abdominoperineal resection (LAPR) is a viable surgical option for rectal and anal conditions. This study shows LAPR is a feasible alternative to open surgery for cancer and colitis patients.

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Laparoscopic abdominoperineal resection (LAPR) is an under-evaluated surgical technique.
  • Its application in rectal cancer, anal cancer, and inflammatory bowel disease requires further assessment.

Purpose of the Study:

  • To evaluate the initial clinical experience with laparoscopic abdominoperineal resection (LAPR).
  • To assess the feasibility and outcomes of LAPR at a single tertiary medical center.

Main Methods:

  • Prospective analysis of the first 21 LAPR procedures performed.
  • Indications included rectal cancer, anal squamous cell cancer, inflammatory bowel disease, and anal melanoma.

Main Results:

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  • 19% conversion rate to open surgery; mean operative time 239 minutes.
  • Wound complications occurred in 19% of patients; mean hospital stay 5 days.
  • Cancer patients with advanced stages had higher mortality; low local recurrence rate (5%).

    • Conclusions:

    • Laparoscopic abdominoperineal resection (LAPR) is a feasible alternative to open surgery.
    • LAPR demonstrates potential benefits for both cancer and colitis patients.