AIM: An improvement in oncological outcome has been reported following an extralevator approach to abdominoperineal excision (ELAPE) for low rectal carcinoma. A larger perineal defect following ELAPE and the impact of neoadjuvant radiotherapy are sources of considerable morbidity for patients.
An ELAPE (extra-levator abdominal perineal resection) is performed to treat cancer of the rectum when the cancer is very near or affects the anal sphincter muscles. You may have radiotherapy or chemoradiation (chemotherapy and radiotherapy) to shrink the cancer beforehand to make it easier to remove and decrease the chance of it coming back later
Abdominoperineal excision (APE) is the surgical treatment for patients with distal rectal cancer in whom an anterior resection with anastomosis (AR) cannot be performed [ 1, 2 ]. Studies show that the overall prognosis for these patients is worse than that for patients undergoing AR and that the local recurrence rates are higher [ 3 - 9 ]. Examples of elapse in a Sentence Verb in those coin-operated binoculars at scenic areas your viewing time seems to elapse almost before it has begun Recent Examples on the Web: Verb The loan is about to come due, and Leya rightly suspects Marcus is just going to let the deadline elapse and gobble up her company. ELAP: Reference Based Pricing & Healthcare Cost Negotiation Company Lower your healthcare spend by up to 30% For more than 12 years, we’ve helped hundreds of self-funded clients use reference-based pricing to maximize savings and control costs. Our approach is proven. AIM: The superiority of extralevator abdominoperineal excision (ELAPE) over conventional abdominoperineal excision (APE) remains controversial, despite the publication of many studies on this issue. The aim of this meta-analysis was to provide a clear, evidence-based comparison of the two procedures.
Selective ELAPE: current role in the treatment of low rectal cancer. This article discusses the origin of the ELAPE concept (abdominoperineal excision extralevator) in 16 Oct 2020 Extralevator abdominoperineal excisions (ELAPE) aim to prevent “waisting” that occurs during conventional abdominoperineal resections (APR) CONCLUSION: The ELAPE for rectal cancer patients is safe, and is associated with lower postoperative complications rate, circumferential resection margin Introduction: Extralevator abdominoperineal excision (ELAPE) for low rectal cancer has been accepted to decrease the positive rate of circumferential resection Perineal Reconstruction Following eLAPE and Simultaneous Stoma Sublay Reinforcement (PRESSUR). The safety and scientific validity of this study is the No difference. • Favour ELAPE.
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Time to Rethink ELAPE? Kennelly, Rory P M.D.; Winter, Desmond C. M.D., F.R.C.S.I. Author Information
This article is published with open access at Time to Rethink ELAPE? Kennelly, Rory P M.D.; Winter, Desmond C. M.D., F.R.C.S.I. Author Information An extralevator abdominoperineal excision (ELAPE) may improve outcome through removal of increased tissue in the distal rectum. Experience with ELAPE is limited and no studies have reported on quality of life (QOL) following this procedure.
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Den föreslagna operationen består av en kombination av extralevator abdomino-perineal excision (ELAPE), intersphicteric resection (ISR) och low anterior reported that ELAPE may increase postoperative perineal morbidity such as chronic perineal pain, perineal wound infection, urinary retention As a new surgical technique, extralevator abdominoperineal excision (eLAPE) is recommended for the treatment of low rectal cancer. The patient's position is changed to a prone jackknife position before extralevator excision is performed via the perineal approach. Since its introduction, extralevator abdominoperineal excision (ELAPE) in the prone position has gained significant attention and recognition as an important surgical procedure for the treatment of advanced low rectal cancer.
hotande eller pvisat engagemang av levatorerna; tgrd: Extralevator abdominoperineal excision av rektum ELAPE Batterierna tillverkas i 2 V och 6 V block. Extralevator abdominoperineal excision (ELAPE) for rectal cancer--short-term results from the. Swedish Colorectal Cancer Registry. Selective
Fler postoperativa stominekroser identifierades i ELAPE gruppen jämfört med S- and stoma function ABBREVIATIONS APE ASA BMI CRF CT ELAPE EORTC
Extralevator AP-excision (ELAPE) o Transanal excision o Transanal endoskopisk mikrokirurgi. Rekonstruktiva möjligheter: Tarm (anastomos, ficka, stomi),
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Vid både konventionell APE och ELAPE, när det föreligger tumörväxt dikt an mot prostata eller vagina, måste en partiell resektion av prostata eller av bakre
DİSTALDEKİ REKTAL KANSERLER İÇİN 11 May 2016 The ELAPE was associated with a significantly lower intraoperative perforation rate. There were no differences regarding the circumferential 7 Oct 2016 Presented by Heather M. Emmerton-Coughlin, MD, FRCSC at the SS19: Robotics Session during the SAGES 2016 Scientific Session. 18 Sep 2018 This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by George J Chang during the Postgraduate 17 Dec 2015 The ELAPE is a more extensive procedure which includes the levator muscles. Chemo- and Radiotherapy. There are differences in rectal cancer 10 Nov 2015 This is "2015 Modification of ELAPE IALT" by Slavi on Vimeo, the home for high quality videos and the people who love them. ELAPE) and open extralevator abdominoperineal excision (Op-ELAPE) for patients with lower rectal cancer.