Novel Technique of Robotic Extralevator Abdominoperineal Resection with Gracilis Flap Closure
Document Type
Article
Publication Date
9-2017
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Abstract
BACKGROUND:
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.
METHODS:
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.
RESULTS:
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.
CONCLUSIONS:
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.
Copyright © 2016 John Wiley & Sons, Ltd.
Repository Citation
Sieffert, M.,
Ouellette, J. R.,
Johnson, R. M.,
Hicks, T.,
& Hellan, M.
(2017). Novel Technique of Robotic Extralevator Abdominoperineal Resection with Gracilis Flap Closure. The International Journal of Medical Robotics and Computer Assisted Technology, 13 (3), e1764.
https://corescholar.libraries.wright.edu/surg/741
DOI
10.1002/rcs.1764
