Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
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Review Meta Analysis
Extralevator abdominoperineal excision for low rectal cancer: a systematic review and meta-analysis of the short-term outcome.
The superiority of extralevator abdominoperineal excision (ELAPE) over conventional abdominoperineal excision (APE) remains controversial, despite the publication of many studies on this issue. The aim of this meta-analysis was to provide a clear, evidence-based comparison of the two procedures. ⋯ The current evidence does not indicate a statistically significant superiority of ELAPE over conventional APE in terms of CRM positivity and intra-operative bowel perforation.