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Exploring minimally invasive options: Laparoscopic transabdominal levator transection for low rectal cancers


 Department of GI and HPB Surgery, Aster Medcity, Kochi, Kerala, India

Correspondence Address:
Fadl H Veerankutty,
Department of GI and HPB Surgery, Aster Medcity, Kochi, Kerala
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_130_18

PMID: 30106021

Extralevator abdominoperineal excision (ELAPE) of the rectum offers wider circumferential margin and decreased rate of intraoperative tumour perforation. However, the need to change the position of the patient in between abdominal and perineal stages of the procedure and extended perineal resection result in increased morbidity and operative time. Evolving technique of laparoscopic transabdominal controlled division of levator ani muscles under direct vision could address these issues while providing all benefits of ELAPE for patients with low rectal cancers.


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    -  Veerankutty FH
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04