Abdominoperineal Resection (Open, Laparoscopic)

Kyle G. Cologne, Sean J. Langenfeld, Andreas M. Kaiser

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter describes the detailed steps for an abdominoperineal resection with irreversible closure of the anus and formation of a permanent end stoma. The technique may vary depending on whether it is done in oncological fashion for a distal rectal or anal malignancy or in a less extensive form for a number of benign conditions. The extent and approach (open versus minimally invasive) further depend on numerous factors, for example, the nature of the pathology, an elective versus nonelective scenario, sphincter function, and others. Multimodality treatment and possibly the presence of underlying risk constellations (hereditary cancer, inflammatory bowel disease) may affect the decision-making. This chapter includes details of indications, preoperative preparation, pitfalls and danger points, postoperative care, and complications. It also gives complete information on surgical strategy and technique.

Original languageEnglish (US)
Title of host publicationChassin’s Operative Strategy in General Surgery
Subtitle of host publicationAn Expositive Atlas: Fifth Edition
PublisherSpringer International Publishing
Number of pages10
ISBN (Electronic)9783030814151
ISBN (Print)9783030814144
StatePublished - Jan 1 2022


  • Abdominoperineal resection
  • Colorectal surgery
  • Laparoscopic rectal resection
  • Rectal cancer

ASJC Scopus subject areas

  • General Medicine


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