Table 2.
Operative details
| Transperineal APE N = 32 | ||
|---|---|---|
| Type of surgery | APE, levators left in situ | 8 (25.0) |
| Unilateral ELAPE | 7 (21.9) | |
| Bilateral ELAPE | 17 (53.1) | |
| Beyond TME resection | No | 24 (75.0) |
| Prostate/Vagina | 6 (18.8) | |
| Seminal vesicles | 1 (3.1) | |
| Ovaries | 1 (3.1) | |
| Pelvic sidewall | 0 (0) | |
| Operative time (min) | Mean (± SD) | 278 (78) |
| Median (range) | 249 (175–450) | |
| Blood loss (ml) | Mean (± SD) | 203 (115) |
| Median (range) | 200 (50–400) | |
| Conversion | To open perineal dissection | 1 (3.1) |
| To laparotomy | 0 (0) | |
| Intraoperative events | Urethral injury | 1 (3.1) |
| Pelvic sidewall injury | 1 (3.1) | |
| Co2 embolism | 1 (3.1) | |
| Rectal tube perforation | 2 (6.3) | |
| Omentoplasty performed | Yes | 6 (18.8) |
| Perineal reconstruction | Primary closure | 18 (56.3) |
| Gluteal turnover flap* | 3 (9.4) | |
| Gluteus maximus flap** | 3 (9.4) | |
| Non-absorbable mesh | 1 (3.1) | |
| Absorbable mesh | 7 (21.9) |
Numbers in parenthesis are percentages, unless mentioned otherwise
APE Abdominoperineal excision, ELAPE extralevator abdominoperineal excision, TME total mesorectal excision
*Deepithelialized cutaneous turnover flap, **musculocutaneous flap