Journal article

Abdominoperineal excision in Australasia: clinical outcomes, predictive factors and recent trends of nonrestorative rectal cancer surgery

N Smith, PS Waters, O Peacock, JC Kong, AC Lynch, JJ McCormick, A Heriot, SK Warrier



AIM: The decision to perform an abdominoperineal excision (APR) rather than restorative bowel resection relies on a number of clinical factors. There remains great variability in APR rates internationally. The aim of this study was to demonstrate trends of APR surgery in low rectal cancer (< 6 cm from the anal verge) in Australasia and identify predictors of nonrestoration. METHOD: This study reviewed a prospectively maintained colorectal registry - the Binational Colorectal Cancer Audit (BCCA) - from general/colorectal surgical units across Australia and New Zealand. Data were analysed to determine factors predictive of nonrestorative resection. Patients were analysed based on the presence ..

View full abstract


Funding Acknowledgements

We are greatly appreciative of the help and support of the BCCA registry, which is supported by the Colorectal Surgical Society of Australia and New Zealand (CSSANZ) and the colon and rectal surgery section of the Royal Australasian College of Surgeons (RACS). We are also appreciative of Epworth Healthcare and the Peter MacCallum Cancer Centre.