RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127272838 T1 ABDOMINOPERINEAL RESECTION T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127272838 RD 2024/04/19 AB Abdominoperineal resection of the lower bowel is the operation of choice for very low rectal malignancies that involve the sphincter complex or cannot be removed with a 2-cm distal margin. In special circumstances, young patients may be candidates for a coloanal anastomosis, whereas others may be candidates for local wide excision and adjuvant treatment for low-grade superficial lesions. The surgeon must be familiar with all methods, including resection of the tumor and anastomosis of the intestine within the hollow of the sacrum.