Simone Arolfo, Marco Ettore Allaix, Alberto Arezzo, Mario Morino. University of Torino
Abdomino-perineal resection (APR) is the standard of care for very low rectal tumors. It is a huge operation, especially in fat men with narrow pelvis. Furthermore, morbidity of perineal wounds is very high, especially after chemoradiation therapy. Transperineal minimally invasive approach in APR was first proposed by Hasegawa et al in 2015. The use of a Single port surgery device secured to the perineum and the establishment of a pneumopelvis dramatically improves vision and reduces blood loss during the operation. The dissection is performed by means of standard laparoscopic instruments. Perineal wound required to secure the device is smaller, with a consequent reduction in morbidity. We would like to present a video showing the technique, in order to underline the advantage of this new minimally invasive approach to APR.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87289
Program Number: V130
Presentation Session: Colorectal 2 Session
Presentation Type: Video