[Laparoscopic-assisted anterior perineal plane for ultra-low anterior resection of the XXXX (APPEAR)].

@entity1 @entity834 @entity190 @entity5 @entity254 @entity5280
OBJECTIVE: To report a case of APPEAR performed using a laparoscopic-assisted approach. METHODS: A laparoscopic-assisted APPEAR was performed with end-to-end @entity254 on October 12, 2010 for a @entity1 with @entity5 who received neoadjuvant chemoradiation. After total mesorectal excision was completed laparoscopically, a crescent-shape incision was then made in the middle perineum. The distal part of the rectum was dissected with electrocautery. An double-stapling end-to-end @entity254 was performed after transaction of the rectum. RESULTS: Total operative time was 195 minutes. The perineal approach cost 30 minutes. The estimated @entity190 was 50 ml. First stoma output with flatus was on postoperative day 3, and the @entity1 resumed liquid diet. The @entity1 was discharged on postoperative day 7. There were no complications including @entity5280 , or @entity834 . CONCLUSION: The APPEAR procedure can be performed safely with the abdominal approach completed laparoscopically.
