APR – does patient position matter?


Presented by David Etzioni, MD, MSHS at the SAGES 2013 Annual Meeting; SAGES/ISLCRS/ASCRS Symposium – Optimizing Outcomes in Rectal Cancer

case study–53 sec
procedural video–2:53
pros & cons of lithotomy vs prone–6:43
lit review–7:47 http://www.ncbi.nlm.nih.gov/pubmed/?term=2

Keyword(s): adverse effects, American Journal of Surgery, anesthesia, anorectal ring, APR, ASCRS, assistant, BJS, bowel perf, buttock, case study, chest rolls, China, circumferential dissection, circumferential margin positivity, coccygectomy, coccyx, Colorectal Disease, colostomy, contralateral side, CRM, CT scan staging, cx control, cylindrical abdominoperineal excision, cylindrical resection, DCR, distal dissection, ELAPE, en bloc, ergonomics, evidence based, exposure, extended APR, extraelevator APR, extralevator APE, female, gravid, hiatus, incontinence, informed decision, ISLCRS, JCO, Journal of Visceral Surgery, levator fascia, levatores, lit review, lithotomy, local recurrence, long-term cx-specific survival, mesorectum, morbidity, MRI, multicentre study, multivariate analysis, oncologic dissection, oncologic margin, oncologic outcomes, oncologic plane, oncologic resection, OR time, PE, pelvic floor, pelvis, perf, perineal defect, perineal dissectino, perineal pain, perineal phase, perineal wound infection, perineal wound revision, PMH, posterior vaginal wall, posterior vaginectomy, prone jackknife, prone position, prostate, pt position, QOL, radical resection, radical surgery, RCT, reconstruction, rectal cx, rectovaginal septum, rectum, retrospective review, retrospective study, robotic mobilization, robotic-assisted TAH-BSO, ROS, setup time, short-course preop radiotherapy, skin incisions, specimen, sphincter complex, SSP, stage I-III rectal cx, standard surgery, survival, T2/T3 lesion, T2N0 lesion, tumor, U.K., urgency, uterine fibroids, uterus, vagina

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