Robotic Abdominoperineal Resection

  • Felipe Quezada-Diaz
  • Rosa Jimenez-Rodriguez
  • Jesse Joshua SmithEmail author


Abdominoperineal resection (APR) has been considered the operation of choice for lower rectal and anal canal tumors. First described by W. Ernest Miles in 1908 as a combined perineal and abdominal approach, abdominoperineal resection surgery has experienced many changes with the availability of minimally invasive techniques, but it follows the same key oncological principles. In this chapter, we describe robotic abdominoperineal resection with different perineal approaches (lithotomy and prone).


Abdominoperineal resection Rectal cancer Robotic rectal surgery Total mesorectal excision Extralevator abdominoperineal resection 

Supplementary material

Video 27.1

Video robotic APR prone position (MP4 626490 kb) (MP4 192861 kb)


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Felipe Quezada-Diaz
    • 1
  • Rosa Jimenez-Rodriguez
    • 1
  • Jesse Joshua Smith
    • 1
    Email author
  1. 1.Department of Surgery Colorectal ServiceMemorial Sloan Kettering Cancer CenterNew YorkUSA

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