Abstract
<p> <h4> BACKGROUND: </h4></p><p> The purpose of this paper is to introduce a robotic assisted approach to extralevator abdominoperineal excision in the modified Lloyd-Davis position with reconstruction of the perineum using pedicled gracilis flaps, and to discuss outcomes in a cohort of six patients. <h4> METHODS: </h4></p><p> Data was collected by chart review on six patients who underwent extralevator excision with gracilis flap reconstruction from 10/2013 to 06/2015. Technical details, operative data, oncologic outcomes, and wound healing complications were evaluated. <h4> RESULTS: </h4></p><p> There were no instances of intraoperative perforation or positive circumferential resection margin, and one case of locoregional recurrence. Two patients experienced flap venous congestion and one patient developed a perineal abscess. All patients went on to complete healing. <h4> CONCLUSIONS: </h4></p><p> The combination of a minimally invasive robotic assisted extralevator abdominoperineal excision performed in the modified Lloyd-Davis position with reconstruction of the perineum with pedicled gracilis flaps has excellent oncologic outcomes and acceptable wound healing complications. Copyright © 2016 John Wiley & Sons, Ltd. StartCopTextCopyright © 2016 John Wiley & Sons, Ltd.</p><p> Copyright © 2016 John Wiley & Sons, Ltd.</p>
| Original language | American English |
|---|---|
| Journal | The International Journal of Medical Robotics and Computer Assisted Technology |
| Volume | 13 |
| DOIs | |
| State | Published - Sep 1 2017 |
Keywords
- ELAPE
- extralevator APR
- extralevator abdominoperineal resection
- gracilis flap
- pedicled gracilis flap
- perineal reconstruction
- robotic-assisted
Disciplines
- Medical Specialties
- Medicine and Health Sciences
- Surgery