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Thread: what should i expect from this kind of surgery?

  1. #1

    what should i expect from this kind of surgery?

    i found out the type of surgery they are going to do to remove my rectal cancer after treatment. the surgery is called robotic abdominal perineal resection. i've read about just abdominal perineal resection that it includes removal of lower colon rectum and anus. but when i find ROBOTIC abdominal perineal resection it just says to remove the cancer and nothing else. it seems like they are the same thing. are they?

  2. #2
    these are separate websites (one for apr and the other for robotic apr) for the two types so that probably makes a difference.

  3. #3
    Moderator Top User Doug K's Avatar
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    Imortal 1974,

    I am not familiar with that surgery, however, be patient and check back here as their are many who read and post on this site. Sometimes, it takes a few days for the replies to come in. I had a LAR open abdominal surgery, following radiation and chemo. That was followed up with chemo. It would appear I was fortunate, as of today, five years since surgery today. Please post again should you hear more. Too, you might want to provide more information. When you were diagnosed. What other treatment have you had, radiation? Chemo? Some history, age when diagnosed, size of tumor, maybe other items. Thanks... and again sorry you find yourself here, but this is a very good forum.
    MyJourney:
    August 2004 Colonoscopy Clear
    June-July 2013 Abdominal Discomfort Upper Abdomen X-ray, UltraSound, CTScan all clear
    8.23.13 Diagnosed 5cm tumor on rectum wall: adenocarcinoma @age 66
    Aug-Sept2013 Met with Surgeon,Hematologist and Radiation oncologist
    Oct.-Nov.: Xeloda concurrent with radiation: 25 doses
    November CTScan, MRI and surgeon scoped: Tumor gone, scar tissue
    1.6.14 Surgery LAR: Rectum removed, sphincter remains: Pathology: no lymph node,
    Tumor downgraded from Possible T3 to T2
    Feb. - April Chemo:5 FU and Oxilaplatin:6 infusions over 14 weeks
    9.4.14 ColonoscopyClear,CT Clear
    Dec.14 Follow up BlWk +,CEA .9
    Mar.15Follow up BlWk +,CEA .6
    June.15 Follow up BlWk +,CEA .7
    Sept2015Followup BlWk + CEA .7 CTScanClear NED
    Dec2015SurgicalHerniaRepair
    Sept2016Followup BlWk + CEA .7 CTScanClear NED
    Sept-Oct2017Followup All clear NED
    Sept-Oct2018CTScan+Clear Bldwk+
    Mar2019Bldwk+NED
    Continue ColoRectal Support Group monthly

  4. #4
    Moderator Top User Fourlegsgood's Avatar
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    Quote Originally Posted by theimortal1974 View Post
    i found out the type of surgery they are going to do to remove my rectal cancer after treatment. the surgery is called robotic abdominal perineal resection. i've read about just abdominal perineal resection that it includes removal of lower colon rectum and anus. but when i find ROBOTIC abdominal perineal resection it just says to remove the cancer and nothing else. it seems like they are the same thing. are they?
    I am sorry that you find yourself here. I am afraid that I do not have personal experience of abdominal perineal resection (mine was also LAR). However I would expect that the recovery period after robotic surgery would be shorter than open surgery.

    As always, the best source of advice is your own medical team and hopefully you have a contact you can phone to discuss any concerns or issues.

    It is of course significant surgery, whether the LAR that Doug and I had, or the APR which you will have and so anything you can do prior to surgery to get fitter will help your speed recovery. Obviously we do not know how mobile you are or what exercise you normally do but every little will help. Even half an hour of moderate exercise (brisk walking) will help if you can do it.

    Nick
    Age 1/2 way to 120 plus 1. Symptom of blood in stools May 2011. Colonoscopy June 2011 confirmed rectal cancer. CT scan June 2011 showed no spread to other organs. Anterior resection July 2011 plus 50% bowel removed due to thickening observed during operation. Biopsy confirmed stage 2 in rectum only. Completed 8 cycles of precautionary capecitabine (4600mg Xeloda). Returned to horse riding 6 weeks post op, jumping 2weeks later and first competition 2 weeks after that. July 2012 - CT scan clear. June 2014 - CT scan clear. December 2014 - Colonoscopy clear. July 2017 - 6 year CT scan clear.

 

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