Extralevator Abdominoperineal Excision (ELAPE) - Perineal Phase

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added:
10 months ago
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9446
specialty:
Surgical Oncology

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. 

tags: Extralevator Abdominoperineal resection rectal cancer ELAPE video total mesorectal excision TME gluteus maximus surgical technique


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