The combined abdomenotranssacral access for the extralevator rectum extirpation

Tsar'kov P.V.; Fedorov D.N.; Kravchenko A.Iu.; Istranov A.L.; Danilov M.A.; Tulina I.A.

doi:https://doi.org/

Tsar'kov P.V.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Fedorov D.N.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Kravchenko A.Iu.

Otdelenie koloproktologii s khirurgieĭ tazovogo dna

Istranov A.L.

otdelenie vosstanovitel'noĭ mikrokhirurgii

ORCID: 0000-0003-0222-2910

Danilov M.A.

A.S. Loginov Moscow clinical scientific and practical center, Moscow, Russia

Tulina I.A.

Otdelenie koloproktologii s khirurgieĭ tazovogo dna

The combined abdomenotranssacral access for the extralevator rectum extirpation

Authors:

Tsar'kov P.V., Fedorov D.N., Kravchenko A.Iu., Istranov A.L., Danilov M.A., Tulina I.A.

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Journal: Pirogov Russian Journal of Surgery. 2011;(5): 43‑50

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To cite this article:

Tsar'kov PV, Fedorov DN, Kravchenko AIu, Istranov AL, Danilov MA, Tulina IA. The combined abdomenotranssacral access for the extralevator rectum extirpation. Pirogov Russian Journal of Surgery. 2011;(5):43‑50. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Technique of the extralevator abdomenoperineal rectum extirpation with the use of the combined abdomenotranssacral access is thoroughly described in the article. The radicality of the procedure and the immediate results has been evaluated in 27 patients with the lower ampullary rectum and anal canal cancer. The average blood loss was 625±288 (300-3500) ml. The soft tissue defect was replaced with the use of unilateral rotated gluteus maximus muscle (n=21), bilateral rotated gluteus maximus muscle (n=6). Tumor-free resection line was registered by the morphological investigation of the resected tissues in 25 cases. Long-term results (13.2±3.1) (2-22 months)) were obtained in 24 patients. The obtained results of the postoperative morbidity and survival rates allow to consider the described method as a safe and appropriate surgical procedure.

Keywords:

rectum extirpation

rectum cancer

surgical technique

Authors:

Tsar'kov P.V.

Fedorov D.N.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Kravchenko A.Iu.

Otdelenie koloproktologii s khirurgieĭ tazovogo dna

Istranov A.L.

otdelenie vosstanovitel'noĭ mikrokhirurgii

ORCID: 0000-0003-0222-2910

Danilov M.A.

A.S. Loginov Moscow clinical scientific and practical center, Moscow, Russia

Tulina I.A.

Otdelenie koloproktologii s khirurgieĭ tazovogo dna

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References:

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