AP resection (Abdominoperineal resection)
Surgical removal of the distal colon (part of the large bowel), rectum, and anal sphincter complex using both anterior abdominal and perineal incisions. A permanent colostomy / stoma is formed (the end of the bowel is brought to the surface of the left abdomen). It has been developed more than 100 years ago, and it remains an important tool in the treatment of rectal cancer. However, with surgical advances, the operation may be carried out with keyhole surgery, and the anal sphincter may be preserved.
- Speciality General Surgery
- Urgency elective, urgent
- Duration 2 to 4 h
- Blood Loss 750 ml to 2 litres
- Anaesthesia General Anaesthetic + Epidural
- Anaesthesia II Epidural, Spinal
- Nerve Blocks TAP-Block
- Procedures Central line, +/- Transfusion, +/- Arterial line
- Pain severe (+++++)
- Post-op Pain Epidural Infusion 3-5 days
- Post-op Pain II Tablets, Injection (im, iv), PCA
- Hospital Stay 5 to 7 days
- Full Recovery 6 to 10 weeks
- More Information Cleveland Clinic
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