Extralevator abdominoperineal excision (Elape): A retrospective cohort study

Zulfiqar Hanif; Alison Bradley; Ahmed Hammad; Arijit Mukherjee

doi:10.1016/j.amsu.2016.07.016

Extralevator abdominoperineal excision (Elape): A retrospective cohort study

Ann Med Surg (Lond). 2016 Jul 20:10:32-5. doi: 10.1016/j.amsu.2016.07.016. eCollection 2016 Sep.

Authors

Zulfiqar Hanif¹, Alison Bradley², Ahmed Hammad³, Arijit Mukherjee³

Affiliations

¹ NHS, Department of Surgery, Hairmyres Hospital, NHS Trust, Eaglesham Road, G75 8RG, Glasgow, UK.
² West of Scotland Surgical Association, UK.
³ Hairmyres Hospital, NHS Trust, UK.

Abstract

Introduction: 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.

Methods: 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.

Results: 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.

Conclusions: Short term results from this study support that ELAPE has better oncological outcome.

Keywords: Abdominoperineal excision; ELAPE; Extralevator; Rectal cancer.