The primary aim of the study is to compare the primary- and secondary end-points after extralevator abdominoperineal excision with standard abdominoperineal excision. The quality registry for colorectal cancer will be used to retrieve information about the index operation, pathology report, recurrent disease and survival of a three-year cohort, consisting of all patients who underwent APR in Sweden in 2007, 2008 and 2009.
Extralevator perineal excision in APR for rectal cancer will:
- Decrease local recurrence at 3 years.
- Increase postoperative morbidity.
- Improve late morbidity.
- Improve quality of life at 36-48 months postoperatively.
- Increase resource consumption in comparison with the traditional perineal excision technique used in APR.
Concluded, 1319 patients.
Extralevator abdominoperineal excision (ELAPE) for rectal cancer-short-term results from the Swedish Colorectal Cancer Registry. Selective use of ELAPE warranted.
Prytz M, Angenete E, Ekelund J, Haglind E.
Int J Colorect Dis 2014;29:981-7.
Ostomy function after abdominoperineal resection--a clinical and patient evaluation.
Angenete E, Correa-Marinez A, Heath J, Gonzalez E, Wedin A, Prytz M, et al.
Int J Colorect Dis 2012;27:1267-74.
Outcome of extralevator abdominoperineal excision compared with standard surgery: results from a single centre.
Asplund D, Haglind E, Angenete E.
Colorectal Dis 2012;14:1191-6.