Erschienen in:
02.09.2023 | Video Forum
Robotic APR with en bloc TAH/BSO and posterior vaginectomy
verfasst von:
M. S. Meece, L. P. Horner, S. J. Danker, A. K. Sinno, N. Paluvoi
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 12/2023
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Excerpt
Squamous cell carcinoma of the anal canal is first treated with the Nigro protocol, a curative intended course of chemoradiation, first described in 1974 [
1]. This treatment has a high success rate; however, up to 33% of patients have recurrent or persistent disease requiring operative treatment [
2,
3]. The operation for these patients is an abdominoperineal resection (APR), commonly referred to as a salvage APR [
2]. The morbidity and complication rates of this surgery have been described, with a wound complication rate as high as 80% [
2,
3]. Despite this, disease-free survival rates have been described as high as 77% [
3]. APR has been well described in the minimally invasive fashion, both robotically and laparoscopically [
4]. …