Abstract

Dr. Alatise and colleagues have presented their experience of performing abdominoperineal resection (APR) in a tertiary referral center in Nigeria [1]. They are to be praised for the extraordinary effort they demonstrate in an area where limited resources prevent optimum treatment of a disease that is increasing in frequency in Africa. These limited resources include minimal access to computerized tomography and other advanced imaging techniques, as well as reduced ability to include chemotherapy and radiation therapy into their treatment algorithm for distal rectal cancer.

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