Extralevator Abdominoperineal Resection

This can be done for locally advanced tumors invading into the vagina the prostate or the levator muscles.

This allows you to go wide and give you a tumour free margin

This is done in combined supine and then prone position

The aim of cancer surgery of the rectum is to get tumour free margin in surgery and a better disease free survival

Post op chemotherapy is decided depending on the histopathology of the removed tumour

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