RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187821769
T1 Abdominoperineal Resection
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187821769
RD 2023/03/21
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.