Single port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect.
dc.contributor.author | Ali, Sayid | |
dc.contributor.author | Moftah, Mohamed | |
dc.contributor.author | Ajmal, Nadeem | |
dc.contributor.author | Cahill, Ronan A | |
dc.date.accessioned | 2013-01-08T15:50:16Z | |
dc.date.available | 2013-01-08T15:50:16Z | |
dc.date.issued | 2012-09 | |
dc.identifier.citation | Single port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect. 2012, 64 (3):217-21 Updates Surg | en_GB |
dc.identifier.issn | 2038-131X | |
dc.identifier.pmid | 22644717 | |
dc.identifier.doi | 10.1007/s13304-012-0158-z | |
dc.identifier.uri | http://hdl.handle.net/10147/264503 | |
dc.description.abstract | Abdominoperineal resection (APR) of anorectal cancers after neoadjuvant chemoradiotherapy may incur significant perineal morbidity. While vertical rectus abdominis muscle (V-RAM) flaps can fill the pelvic resection space with health tissue, their use has previously been described predominantly in association with laparotomy. Here, we describe a means of combination laparoscopic APR with V-RAM flap reconstruction that allows structural preservation of the entire abdominal wall throughout the oncological resection and of the deep parietal layers after V-RAM donation. Furthermore, a single port access device used at the end colostomy site allows a second senior surgeon assist with an additional two working instruments for the purpose of improved pelvic tissue retraction, especially useful in obese patients. | |
dc.language.iso | en | en |
dc.rights | Archived with thanks to Updates in surgery | en_GB |
dc.subject.mesh | Colorectal Neoplasms | |
dc.subject.mesh | Equipment Design | |
dc.subject.mesh | Female | |
dc.subject.mesh | Follow-Up Studies | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Laparoscopes | |
dc.subject.mesh | Laparoscopy | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Perineum | |
dc.subject.mesh | Reconstructive Surgical Procedures | |
dc.subject.mesh | Rectus Abdominis | |
dc.subject.mesh | Surgical Flaps | |
dc.subject.mesh | Surgical Wound Dehiscence | |
dc.title | Single port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect. | en_GB |
dc.type | Article | en |
dc.contributor.department | Department of Plastic and Colorectal Surgery, Beaumont Hospital, Dublin, Ireland. | en_GB |
dc.identifier.journal | Updates in surgery | en_GB |
dc.description.province | Leinster | en |
html.description.abstract | Abdominoperineal resection (APR) of anorectal cancers after neoadjuvant chemoradiotherapy may incur significant perineal morbidity. While vertical rectus abdominis muscle (V-RAM) flaps can fill the pelvic resection space with health tissue, their use has previously been described predominantly in association with laparotomy. Here, we describe a means of combination laparoscopic APR with V-RAM flap reconstruction that allows structural preservation of the entire abdominal wall throughout the oncological resection and of the deep parietal layers after V-RAM donation. Furthermore, a single port access device used at the end colostomy site allows a second senior surgeon assist with an additional two working instruments for the purpose of improved pelvic tissue retraction, especially useful in obese patients. |