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Laparoscopic abdominoperineal excision of the rectum

✍ Scribed by A. Darzi; C. Lewis; N. Menzies-Gow; P. J. Guillou; J. R. T. Monson

Publisher
Springer
Year
1995
Tongue
English
Weight
407 KB
Volume
9
Category
Article
ISSN
0930-2794

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✦ Synopsis

In laparoscopic abdominoperineal resection of the rectum (LAP-AP) an abdominal incision is completely avoided as the tumor is delivered through the perineal incision. It is our belief that the view provided in the pelvis by laparoscopy is significantly better than at laparotomy and allows excellent anatomical definition and meticulous dissection. In this study we compared the adequacy of excision of the first 12 patients undergoing LAP-AP to the last 16 patients undergoing open abdominoperineal resection (OP-AP). In all patients the procedure was carried with curative intent for adenocarcinoma and the Dukes staging and Jass score's were similar in both groups.

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## Abstract This paper reports a case of primary vaginal calculus developing following abdominoperineal excision of the rectum with total hysterectomy. A review of the previous literature on primary vaginal calculus is included.