Abdominoperineal resection

Willett CG, Compton CC, Shellito PC, Efird JT. Selection factors for local excision or abdominoperineal resection of early stage rectal cancer. Cancer 1994 73 2716-2720. 

Abdominoperineal resection Aortoiliac surgery Bilateral orchiectomy Cystectomy Genital trauma Inguinoscrotal surgery Internal urethrotomy ... 

For treatment of rectal cancer, minimally invasive surgery, such as transanal excision, transanal endoscopic microsurgery, total mesorectal excision, or abdominoperineal resection, are available depending on the location, size, and stage of the tumor (Pricolo... 

Depending on the location of a pelvic fluid collection, different access paths determined by the surrounding pelvic ring are suitable the presacral approach (patient in prone position) is especially useful in patients who develop a presacral abscess after an abdominoperineal resection (Fig. 37.13). Using a sUght (double) angula-... 

Fig. 37.13a,b. Patient (prone position) with a fever showing a presacral fluid collection 10 days after abdominoperineal rectum resection (a). An 8-French drainage catheter was inserted using the Seldinger technique, b Guide wire being introduced through an 18-G sheath under CT fluoroscopy... 

---