Operating technical problems in abdomino-perineal resection of the rectum
| Abstract Title: | Operating technical problems in abdomino-perineal resection of the rectum |
| Authors: | Goldis Dan¹, Dumnici Alexandru¹, Onita Marcel², Papiu Horatiu¹ , Aiordachioaie Gigi¹ ,Tarta Cristi³, Precup Cris¹, Frandes Corina¹, Sferdian Mircea¹ |
| Affiliation: | ¹”Vasile Goldiş” Western Universiity Arad, Romania ²Clinic Municipal Hospital Arad, Romania ³Clinic Emergency County Hospital Timisoara, Romania |
| Abstract text: | Abdomino-perineal resection of the rectum is a fundamental solution in the radical surgical cure of rectum cancer. The decision to perform abdomino-perineal resection of the rectum versus anterior resection – Dixon procedure- is the most important tactical issue regarding the surgical cure of rectal cancer. This decision can be definitively made usually only during the surgical intervention. The main technical problems in the abdomino-perineal resection of the rectum are damaging the ureters during dissection, bleeding because of the possibility of infringement of middle sacral artery, difficult dissection from the nearby viscera and injury of the urethra or vagina. These incidents must be prevented by tended dissection to view cleavage plans, and accurately identifying anatomical elements to be cut or ligatured. Also manufacturing an end colostomy can drive to further complications if there are local tissue tensions. The colon exteriorization must be made respecting its vascular structure to prevent its necrosis. We studied a total of 18 cases of abdomino-perineal resection of the rectum performed in General Surgery Clinic of the Arad County Hospital between 2004-2009. This surgical procedure still remains a basic option in the cure of rectum cancer, especially regarding the achievement of radically oncologic desideratum. |
| Keywords: | abdomino-perineal resection of the rectum, operatory problems |
| Presentation type: | Poster |
| Correspondence: | no. 1 Feleacului St., Arad, Romania |
| Email: | goldisdan@yahoo.com |
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