The posterior approach for villous tumors of the rectum

Arnaud, J. P.; Eloy, M.R.; Clendinnen, Guy; Adloff, M

doi:10.1016/0002-9610(78)90245-3

Cited by 10 publications

(5 citation statements)

References 8 publications

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“…However, most of those studies that do report a high incidence of complications were performed before the era of proper bowel preparation, prophylactic antibiotics, and adequate drainage techniques [10,[20][21][22][23][24]. In our study, we report an anastomotic leakage in 5 patients.…”

Section: Discussionmentioning

confidence: 56%

The Place of the Posterior Surgical Approach for Lesions of the Rectum

et al. 2005

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Background: Although there are many advantages of a posterior approach to rectal disease, these procedures are not widely accepted because many surgeons fear the postoperative complications. Methods: The medical records were reviewed of 57 patients who underwent a posterior approach to the rectum between January 1980 and December 2002. Results: Twenty-eight men and 29 women with a mean age of 70.5 (range 47–83) years underwent either a posterior transsacral (n = 52) or a transsphincteric (n = 5) procedure. Indications for surgery were benign lesions (n = 33), e.g. villous adenoma, rectal prolapse and endometriosis as well as invasive adenocarcinoma (n = 24). All patients with an invasive adenocarcinoma were classified as ASA grade III or IV. Postoperative morbidity occurred in 12 patients (21%), consisting of temporary incontinence, anastomotic leakage, wound infection, and hemorrhage. There was no mortality. During a mean follow-up of 29 (range 2–86) months, 3 patients with a villous adenoma and 2 patients who were treated for a malignant lesion had a locally recurrent lesion. Conclusion: We believe that a posterior approach to the rectum should be considered for various benign and selected malignant diseases, especially in case of elderly patients or patients with a compromised general condition, and has to be a part of the surgeon’s armamentarium.

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Section: Discussionmentioning

confidence: 56%

The Place of the Posterior Surgical Approach for Lesions of the Rectum

et al. 2005

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“…Local excision of villous adenomas and other benign rectal lesions has been accepted for decades, and the Kraske approach for management of these lesions has been recommended by several authors [12][13][14][15][16]. Factors leading to utilization of a posterior excision for removal of these lesions include inaccessibility from below and/or the patient's inability to tolerate a major circumferential operation from above.…”

Section: Discussionmentioning

confidence: 99%

The Kraske procedure: A critical analysis of a surgical approach for mid-rectal lesions

et al. 2006

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“…On the other hand, the posterior approach to the rectum utilizing the Kraske procedure provides a better exposure for distal rectum (5-10 cm from the anal verge) so that we can locate it on surgical procedure [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Aggressive Angiomyxoma: An Unusual Female Pelvic Tumour. Report of Three Cases and Review of the Literature

Martín-Cartes¹,

Bustos-Jiménez²,

Tamayo-López³

et al. 2010

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Aggressive angiomyxoma was first described in 1983 by Steeper and Rosai, and fewer than 150 cases have been reported in the world medical literature. It is a soft-tissue tumour of the pelvis and perineum. The recurrence rate is high, and often extensive resections are performed with considerable morbidity. These tumours are benign, locally infiltrative mesenchymal neoplasms with a predilection for the female pelvis and perineum and they usually tend to recur. Furthermore, these tumours often reach too large dimensions before becoming clinically symptomatic; their incidence is higher in women of the reproductive age group; however a few cases of its occurrence outside the pelvis have also been reported. In this study, we reported three cases with aggressive pelvic angiomyxoma treated with surgical methods and used an approach that described by Kraske in order to get access to lower rectal cancers. Accurate preoperative diagnosis should alert the surgeon to the need for wide excision, which is essential for prevention of local recurrence.

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The posterior approach for villous tumors of the rectum

Cited by 10 publications

References 8 publications

The Place of the Posterior Surgical Approach for Lesions of the Rectum

The Place of the Posterior Surgical Approach for Lesions of the Rectum

The Kraske procedure: A critical analysis of a surgical approach for mid-rectal lesions

Aggressive Angiomyxoma: An Unusual Female Pelvic Tumour. Report of Three Cases and Review of the Literature

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