The first experience of laparoscopic extralevator abdominoperineal resection of the rectum with perineal reconstruction with gluteal flap
Abstract
AIM: to demonstrate the first experience of extralevator abdominoperineal resection of rectum (ELAPR) with gluteoplasty.
PATIENTS AND METHODS: Patient K., 71 years old, with a low rectal cancer cT3aN0M1a CRM- EMVI + (IV st) after neoadjuvant chemoradiation therapy was underwent surgical treatment. Laparoscopic extralevator abdominoperineal resection of rectum with gluteoplasty of the pelvic floor was performed.
RESULTS: The first ELAPR with gluteoplasty was performed. The patient was activated on the 2nd day, the drain tubes were removed on the 5th day. On the 7th day, the seroma of the perineal wound was drained without signs of suppuration. No discomfort or movement disorders were noted. The patient was discharged in satisfactory condition on the 17th day.
CONCLUSION: the presented clinical case allows us to consider gluteoplasty as a promising method for reconstruction of the pelvic floor defect after ELAPR.
About the Author
Ivan S. Ignatov
1Ryazan State Medical University (Visokovoltnaya str., 9, Ryazan, 390026, Russia)
2Ryazan State Clinical Hospital (International str., 3A, Ryazan, 390039, Russia)
Russian Federation
Russian Federation
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Review
For citations:
Ignatov I.S. The first experience of laparoscopic extralevator abdominoperineal resection of the rectum with perineal reconstruction with gluteal flap. Koloproktologia. 2021;20(3):77-83. (In Russ.)
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