Multicenter study of surgical and oncologic outcomes of extra-levator versus conventional abdominoperineal excision for lower rectal cancer

Publication date: Available online 21 August 2019Source: European Journal of Surgical OncologyAuthor(s): Zhanlong Shen, Zhaode Bu, Ang Li, Junyang Lu, Liyu Zhu, Choon Seng Chong, Zhidong Gao, Kewei Jiang, Shan Wang, Fei Li, Yi Xiao, Jiafu Ji, Yingjiang YeAbstractBackgroundThe surgical and oncological outcome of extra-levator abdominoperineal excision (ELAPE) procedure remains unclear in low rectal cancer.MethodsA total of 194 cases of rectal cancer patients underwent ELAPE or conventional abdominoperineal excision (APE) procedure were analyzed in four hospitals’ databases from January 2010 to December 2015. Clinicopathological data, overall survival (OS), disease free survival (DFS) and local recurrence free survival (LRFS) of patients were compared between two groups.ResultsThe operation time spent in perineal phase was significantly shorter in the ELAPE group than that in conventional APE procedure (P 
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research

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