Abdominoperineal resection in anal cancer: Reconstruction of the perineum with a myocutaneous flap from the anterior rectus abdominis muscle

作者：Casal Nunez Jose Enrique; Caceres Alvarado Nieves; de Sanildefonso Pereira Alberto; Toscano Novelle M Angeles; Garcia Martinez M Teresa; Jove Albores Patricia

来源：Cirugia Espanola, 2011, 89(1): 31-36.

DOI：10.1016/j.ciresp.2010.10.002

• Anal cancer
• Abdominoperineal resection
• Anterior rectus abdominis myocutaneous flap
• Radiotherapy

Introduction: Abdominoperineal resection after radiotherapy has a high rate of perineal wound complications. The aim of this retrospective study was to evaluate the results of perineal reconstruction with a rectus abdominis muscle myocutaneous flap in patients with recurrent or persistent anal cancer.
Patients and method: Between 2006 and 2010, six male HIV+ patients were treated after initial treatment failure with chemotherapy. An anterior rectal myocutaneous flap was performed after abdominal-perineal excision.
Results: The mean age was 36.3 years (range: 30-42). Primary healing of the perineal wound was achieved in the first thirty days. There were no major complications in the immediate post-surgical period or after a mean follow up of 26.5 months. There were 2 (33.3%) minor complications associated with the perineal wound. There were no complications of the abdominal wall.
Conclusion: The use of an anterior rectus abdominis myocutaneous flap in patients with recurrent or persistent anal cancer is associated with a low rate of perineal complications.

• 出版日期2011-1