Annals of Colorectal Research

Published by: Kowsar

Anterior Perineal Plane Technique in Low Rectal Cancer

Rasoul Azizi 1 , Roubik Behboo 1 and Abbas Abdollahi 2 , *
Authors Information
1 Department of Colorectal Surgery, Rasoul Akram Medical Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, IR Iran
2 Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
Article information
  • Annals of Colorectal Research: March 01, 2014, 2 (1); e17014
  • Published Online: March 30, 2014
  • Article Type: Research Article
  • Received: December 24, 2013
  • Revised: February 22, 2014
  • DOI: 10.17795/acr-17014

To Cite: Azizi R, Behboo R, Abdollahi A. Anterior Perineal Plane Technique in Low Rectal Cancer, Ann Colorectal Res. 2014 ; 2(1):e17014. doi: 10.17795/acr-17014.

Copyright © 2014, Colorectal Research Center and Health Policy Research Center of Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Saito N, Ito M, Kobayashi A, Nishizawa Y, Sugito M. [Sphincter-saving resection for low rectal cancer]. Nihon Geka Gakkai Zasshi. 2011; 112(5): 318-24[PubMed]
  • 2. Weiser MR, Quah HM, Shia J, Guillem JG, Paty PB, Temple LK, et al. Sphincter preservation in low rectal cancer is facilitated by preoperative chemoradiation and intersphincteric dissection. Ann Surg. 2009; 249(2): 236-42[DOI][PubMed]
  • 3. Abou-Zeid AA, Makki MT. Anterior perineal plane for ultra-low anterior resection of the rectum (The APPEAR Technique): a prospective clinical trial of a new procedure. Ann Surg. 2009; 250(1): 174[DOI][PubMed]
  • 4. El-Gendy KA, Murphy J, Kullar NS, Chan CL, Williams NS. Anterior Perineal PlanE for Ultralow Anterior Resection of the Rectum (the APPEAR Technique): a video demonstration. Ann Surg Oncol. 2010; 17(5): 1357-8[DOI][PubMed]
  • 5. Zuo ZG, Song HY, Li J, Xu C, Zhou ZH, Ni SC, et al. [Clinical application of intersphincteric resection in the anal-preserving operation for ultra-low rectal carcinoma]. Zhonghua Zhong Liu Za Zhi. 2009; 31(12): 941-4[PubMed]
  • 6. Qiu HZ, Xiao Y, Lin GL, Wu B, Niu BZ, Zhou JL. [Clinical application of anterior perineal plane for ultra-low anterior resection of the rectum]. Zhonghua Wei Chang Wai Ke Za Zhi. 2012; 15(1): 47-50[PubMed]
  • 7. Park IJ, You YN, Agarwal A, Skibber JM, Rodriguez-Bigas MA, Eng C, et al. Neoadjuvant treatment response as an early response indicator for patients with rectal cancer. J Clin Oncol. 2012; 30(15): 1770-6[DOI][PubMed]
  • 8. Ge L, Wang HJ, Zhao ZL, Yang XH, Zhao WM, Hati P, et al. [Evaluation of short-term efficacy and safety after laparoscopic resection for mid-low rectal cancer]. Zhonghua Yi Xue Za Zhi. 2012; 92(2): 98-101[PubMed]
  • 9. Kang J, Hur H, Min BS, Lee KY, Kim NK. Robotic coloanal anastomosis with or without intersphincteric resection for low rectal cancer: starting with the perianal approach followed by robotic procedure. Ann Surg Oncol. 2012; 19(1): 154-5[DOI][PubMed]
  • 10. Williams NS, Murphy J, Knowles CH. Anterior Perineal PlanE for Ultra-low Anterior Resection of the Rectum (the APPEAR technique): a prospective clinical trial of a new procedure. Ann Surg. 2008; 247(5): 750-8[DOI][PubMed]
  • 11. Qiu HZ, Xiao Y, Wu B, Lin GL, Wu X. [Laparoscopic-assisted anterior perineal plane for ultra-low anterior resection of the rectal cancer(APPEAR)]. Zhonghua Wei Chang Wai Ke Za Zhi. 2011; 14(1): 24-6[PubMed]
  • 12. Selvindos PB, Ho YH. Multimedia article. Laparoscopic ultralow anterior resection with colonic J-pouch-anal anastomosis. Dis Colon Rectum. 2008; 51(11): 1710-1[DOI][PubMed]
  • 13. Liang JT, Lai HS, Lee PH. Laparoscopic pelvic autonomic nerve-preserving surgery for patients with lower rectal cancer after chemoradiation therapy. Ann Surg Oncol. 2007; 14(4): 1285-7[DOI][PubMed]
  • 14. Marquardt C, Koppes P, Weimann D, Schiedeck T. Laparoscopic ultralow anterior rectal resection in APPEAR technique for deep rectal cancer. Int J Colorectal Dis. 2012; 27(4): 549-52[DOI][PubMed]
  • 15. Krand O, Yalti T, Tellioglu G, Kara M, Berber I, Titiz MI. Use of smooth muscle plasty after intersphincteric rectal resection to replace a partially resected internal anal sphincter: long-term follow-up. Dis Colon Rectum. 2009; 52(11): 1895-901[DOI][PubMed]
  • 16. Tilney HS, Tekkis PP. Extending the horizons of restorative rectal surgery: intersphincteric resection for low rectal cancer. Colorectal Dis. 2008; 10(1): 3-15[DOI][PubMed]
  • 17. Dai Y, Jiang JB, Bi DS, Jin ZT, Sun JZ, Hu SY. Preservation of the continence function after intersphincteric resection using a prolapsing technique in the patients with low rectal cancer and its clinical prognosis. Chin Med J (Engl). 2008; 121(20): 2016-20[PubMed]
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