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01-02-2012 | Case Report

Prostatic Marker Needles to Define the Anterior Dissection Planes during APR for Rectal Cancers in Patients with Previous Radiotherapy for Prostate Cancer

Authors: Jacob Juta, Gokulakkrishna Subhas, Tafadzwa Makarawo, Patrick McLaughlin, Ralph Pearlman, Alasdair McKendrick

Published in: Journal of Gastrointestinal Surgery | Issue 2/2012

Excerpt

In low rectal cancers for which the sphincter mechanism proves unsalvageable, the abdominoperineal resection (APR) is frequently used. The most critical portion of APR is the anterior dissection because of the proximity of the urethra. This requires a perineal dissection wherein the anterior dissection should proceed dorsally to the bulbocavernosus muscle to avoid injury to the membranous urethra. In males, though the rectum and prostate curve away from one another as two convex surfaces, approximately up to half of the posterior prostate surface is in close contact with anterior rectum.1 This makes the anterior dissection more difficult, because the anorectum is closely apposed to the membranous urethra, prostate, and seminal vesicles.2 …

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Title: Prostatic Marker Needles to Define the Anterior Dissection Planes during APR for Rectal Cancers in Patients with Previous Radiotherapy for Prostate Cancer
Authors: Jacob Juta
Gokulakkrishna Subhas
Tafadzwa Makarawo
Patrick McLaughlin
Ralph Pearlman
Alasdair McKendrick
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 2/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-011-1657-9

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Prostatic Marker Needles to Define the Anterior Dissection Planes during APR for Rectal Cancers in Patients with Previous Radiotherapy for Prostate Cancer

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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