• 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. &#193 ; ngeles Toscano Novelle^b ; M. Teresa Garcí ; a Martí ; nez^a ; Patricia Jove Albores^a
• 关键词：C&aacute ; ncer anal ; Resecci&oacute ; n abdominoperineal ; Colgajo miocut&aacute ; neo del recto anterior abdominal ; Radioterapia
• 刊名：Cirug铆a Espa帽ola
• 出版年：2011
• 期刊代码：pca87_0009739X
• 类别：med
• 出版时间：January 2011
• 卷：89
• 期：1
• 页码：31-36
• 文件大小：416 K

class="h4">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.

class="h4">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.

class="h4">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.

class="h4">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.