Laparoscopic extralevator abdominoperineal resection with perineal reconstruction with gluteal flap (clinical case)

AIM : to demonstrate the first experience of extralevator abdominoperineal resection (ELAPR) with gluteoplasty. PATIENTS AND METHODS : patient K., aged 71 years old, with a low rectal cancer cT3aN0M1a CRM– EMVI+ (IV st) after neoadjuvant chemoradiation therapy, underwent surgery. Laparoscopic extralevator abdominoperineal resection with gluteoplasty was performed. RESULTS : the patient was mobilized on the next day after surgery, the drain tubes were removed on the 5th day. On the 7th day, the seroma of the perineal wound without signs of suppuration was drained. No discomfort or movement disorders were noted. The patient was discharged in satisfactory condition on the 17th day. CONCLUSION : the presented clinical case allows us to consider gluteoplasty as a promising method for reconstruction of the pelvic floor defect after ELAPR.