Transperineal extralevator abdominoperineal excision performed by double laparoscopic approach with no position change

Background: The aim of this study was to assess the feasibility of such an approach and to appraise short-term outcomes. Methods: The abdominal phase and perineal phase of the operation were both performed laparoscopically simultaneously. All patients were enrolled in an enhanced recovery programme. Results: The conversion rate to laparotomy was 0%. All patients had circumferential resection margins (CRM) >1 mm; no intraoperative tumour perforation (IOP) occurred. The median length of stay was 8 days. Conclusions: Double laparoscopic-assisted extralevator abdominoperineal excision (ELAPE) can be safely performed without compromising short-term outcomes.