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Selected Works of Ron Michael Johnson
Article
Novel Technique of Robotic Extralevator Abdominoperineal Resection with Gracilis Flap Closure
The International Journal of Medical Robotics and Computer Assisted Technology
  • Michelle Sieffert, Wright State University
  • James R. Ouellette, Wright State University
  • Ron Michael Johnson, Wright State University - Main Campus
  • Todd Hicks, Wright State University
  • Minia Hellan, Wright State University
Document Type
Article
Publication Date
9-1-2017
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Abstract

BACKGROUND:

The purpose of this paper is to introduce a robotic assisted approach to extralevator abdominoperineal excision in the modified Lloyd-Davis position with reconstruction of the perineum using pedicled gracilis flaps, and to discuss outcomes in a cohort of six patients. METHODS:

Data was collected by chart review on six patients who underwent extralevator excision with gracilis flap reconstruction from 10/2013 to 06/2015. Technical details, operative data, oncologic outcomes, and wound healing complications were evaluated. RESULTS:

There were no instances of intraoperative perforation or positive circumferential resection margin, and one case of locoregional recurrence. Two patients experienced flap venous congestion and one patient developed a perineal abscess. All patients went on to complete healing. CONCLUSIONS:

The combination of a minimally invasive robotic assisted extralevator abdominoperineal excision performed in the modified Lloyd-Davis position with reconstruction of the perineum with pedicled gracilis flaps has excellent oncologic outcomes and acceptable wound healing complications. Copyright © 2016 John Wiley & Sons, Ltd. StartCopTextCopyright © 2016 John Wiley & Sons, Ltd.

Copyright © 2016 John Wiley & Sons, Ltd.

DOI
10.1002/rcs.1764
Citation Information
Michelle Sieffert, James R. Ouellette, Ron Michael Johnson, Todd Hicks, et al.. "Novel Technique of Robotic Extralevator Abdominoperineal Resection with Gracilis Flap Closure" The International Journal of Medical Robotics and Computer Assisted Technology Vol. 13 Iss. 3 (2017) ISSN: 1478596X
Available at: http://works.bepress.com/ronmichael-johnson/3/