Robot-assisted Rectus Abdominis Muscle Flap Reconstruction After Abdominoperineal Resection for Rectal or Anal Cancer

What this Trial Is About

This research focuses on patients with locally advanced rectal or anal cancer who have undergone robotic-assisted abdominoperineal resection followed by reconstruction using a rectus abdominis muscle flap. The study aims to evaluate the surgerys effects on wound healing, abdominal wall strength, complications, quality of life, and sexual health. It is a prospective, non-randomized observational study conducted by Oslo University Hospital. Participants will receive robotic-assisted reconstruction of the perineum andor vagina using a rectus abdominis muscle flap performed with the Da Vinci Xi surgical system. Up to 40 patients undergoing this specific surgical procedure will be included. In addition to standard postoperative care, study-specific follow-up visits are scheduled at 1, 6, and 12 months after surgery to monitor recovery and outcomes. Throughout the study, researchers will record complications using a standardized grading system and assess patient-reported quality of life using validated questionnaires. Sexual health will be evaluated with a dedicated subset of questions. Abdominal wall strength and wound healing will be clinically examined before surgery and at 3 and 12 months postoperatively. The main outcome measured is the status of perineal wound healing at 3 months, with other postoperative complications and patient-related outcomes tracked over time.

Reconstruction After Abdominoperineal Resection With Robot-assisted Harvest of VRAM Flap