Hanif Zulfiqar, Bradley Alison, Hammad Ahmed, Mukherjee Arijit
NHS, Department of Surgery, Hairmyres Hospital, NHS Trust, Eaglesham Road, G75 8RG, Glasgow, UK.
West of Scotland Surgical Association, UK.
Ann Med Surg (Lond). 2016 Jul 20;10:32-5. doi: 10.1016/j.amsu.2016.07.016. eCollection 2016 Sep.
Extralevator abdominoperineal excision (ELAPE) is relatively new surgical technique for low rectal cancers. It is a more radical approach than conventional abdominoperineal excision (APE) with potentially better oncological outcome. The aim of this study was to analyse short term results of ELAPE compared with conventional abdominoperineal excision.
Data were collected prospectively for 72 patients who underwent abdominoperineal excision (APE) for low rectal carcinomas from 2010 to 2014. Of these 24 patients underwent ELAPE with biological prosthetic mesh used to close the perineal defect.
The median age of patients was 68 (37-87). Positive circumferential resection margin (1/24 vs. 8/48) and Intra operative perorations (0/24 vs. 6/48) compared favourably with ELAPE.
Short term results from this study support that ELAPE has better oncological outcome.
经肛提肌腹会阴联合切除术（ELAPE）是一种针对低位直肠癌的相对较新的手术技术。它是一种比传统腹会阴联合切除术（APE）更为根治性的方法，可能具有更好的肿瘤学结局。本研究的目的是分析ELAPE与传统腹会阴联合切除术相比的短期结果。
前瞻性收集了2010年至2014年期间因低位直肠癌接受腹会阴联合切除术（APE）的72例患者的数据。其中24例患者接受了ELAPE，并使用生物人工补片来封闭会阴缺损。
患者的中位年龄为68岁（37 - 87岁）。与ELAPE相比，环周切缘阳性率（1/24对8/48）和术中穿孔率（0/24对6/48）更有利。
本研究的短期结果支持ELAPE具有更好的肿瘤学结局。
