Extralevator Abdominoperineal Excision (ELAPE) - Perineal Phase
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Case description
In this video Dr Vipin Goel demonstrate Extralevator Abdominoperineal resection in a Patient with advance low Rectal cancer. ELAPE involves total mesorectal excision up to Levator ani muscle. The abdomen is closed after leaving a gauze in front of sacrum. Then patient is placed in prone jack knife position and gluteus maximus and levators are divided laterally. Dissection is completed and specimen is delivering in a cylindrical specimen.
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