• 作者：José ; Enrique Casal Nú ; ñ ; ez^a ; ^{jose.enrique.casal.nunez@sergas.es} ; Nieves Cá ; ceres Alvarado^b ; Alberto de Sanildefonso Pereira^a ; M. Á ; ngeles Toscano Novelle^b ; M. Teresa Garc&#237 ; a Mart&#237 ; nez^a ; Patricia Jove Albores^a
• 关键词：Cá ; ncer anal ; Resecció ; n abdominoperineal ; Colgajo miocutá ; neo del recto anterior abdominal ; Radioterapia
• 刊名：Cirug¨ªa Espa?ola
• 出版年：2011
• 出版时间：January 2011
• 年：2011
• 卷：89
• 期：1
• 页码：31-36
• 全文大小：416 K

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.