Amputation abdomino-périnéale dans la prise en charge des cancers du bas rectum (1) : problématique carcinologique et technique d'exérèse

Abdominoperineal resection is the oldest surgical procedure for rectal cancer. The patients who undergone an abdominoperineal resection for rectal carcinoma have a higher local recurrence risk and poor survival compared to the patients who had an anterior resection. During abdominoperineal resection, the rate of rectal perforation is high and the circumferential margin is often involved. Recently the concept of cylindrical abdominoperineal resection has been reintroduced. It allows a large excision and the first results are encouraging. The purpose of this article was to analyse the oncological results of abdominoperineal resection and to develop the technical modification of the procedure.