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- W2015098049 abstract "We thank Polkowski and colleagues for their interest in our paper. 1 Ramsay G. Parnaby C. MacKay C. Hanlon P. Ong S. Loudon M. Analysis of outcome using a levator sparing technique of abdominoperineal excision of rectum and anus. Cylindrical ELAPE is not necessary in all patients. Eur J Surg Oncol. 2013; 39: 1219-1224 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar We note their results over an extended period of time utilising the Abdomino-Sacral Amputation of the Rectum (ASAR) as described in their letter. We agree with the contributors that review of outcomes from historical and current practice is vital in the ongoing attempt to improve clinical care. Indeed, this is the main reason why we sought to undertake our recent study. Extralevator abdomino-perineal excision (ELAPE) or abdomino-sacral amputation of the rectum (ASAR): Revitalized approach for low rectal carcinoma described by Tadeusz Koszarowski in the 50sEuropean Journal of Surgical OncologyVol. 40Issue 7PreviewIn the November issue of the Journal Ramsay et al. reported their outcomes from a single centre using the so-called levator sparing dissection and concluded that (with adequate neoadjuvant chemoradiotherapy), this technique of the excision of rectum remains a safe option (positive circumferential resection margin in 7 out of 43 patients operated with curative intent) with less morbidity and perioperative complications than has been described for extralevator abdomino-perineal excision (ELAPE).1 The authors stated that the ELAPE technique was originally described by Miles and later popularized by Holm, who also addressed reconstruction of perineal defect with a gluteus maximus flap. Full-Text PDF" @default.
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- W2015098049 date "2014-07-01" @default.
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- W2015098049 title "Reply to: Extralevator abdomino-perineal excision (ELAPE) or abdomino-sacral amputation of the rectum (ASAR): Revitalised approach for low rectal carcinoma described by Tadeusz Koszarowski in the 50s" @default.
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