2007
DOI: 10.1007/s00595-006-3466-4
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Transsacral Approach to Resect a Gastrointestinal Stromal Tumor in the Rectum: Report of Two Cases

Abstract: Gastrointestinal stromal tumors (GISTs) rarely arise in the rectum. Whereas a local resection with negative margins is generally considered adequate for resectable GISTs, a wide resection is usually indicated for rectal lesions because of the technical impossibility of local resection. We report the cases of two patients who underwent resection of a rectal GIST using a transsacral approach. Both patients had an uneventful postoperative course, and no evidence of recurrence has been identified. The transsacral … Show more

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Cited by 29 publications
(17 citation statements)
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“…7). A posterior trans-sacral (Kraske) approach, with wedge resection of the rectum, has some benefits in this setting, including the possibility of obtaining excellent exposure without the need for a major laparotomy, and of avoiding the risk of urogenital dysfunction following total mesorectum excision 79,80 . Similarly, women with GISTs located on the anterior wall of the lower rectum might benefit from a transvaginal approach 81 .…”
Section: Rectummentioning
confidence: 99%
“…7). A posterior trans-sacral (Kraske) approach, with wedge resection of the rectum, has some benefits in this setting, including the possibility of obtaining excellent exposure without the need for a major laparotomy, and of avoiding the risk of urogenital dysfunction following total mesorectum excision 79,80 . Similarly, women with GISTs located on the anterior wall of the lower rectum might benefit from a transvaginal approach 81 .…”
Section: Rectummentioning
confidence: 99%
“…The reported distribution of primary GISTs within the gastrointestinal tract is 50-60 per cent stomach, [25][26][27][28][29][30][31][32][33][34][35] per cent small intestine, 5 per cent colon and rectum, and 1-5 per cent oesophagus 5,6 . GISTs presenting at different sites have differing clinical and pathological features 7 .…”
Section: Introductionmentioning
confidence: 99%
“…A transsacral approach has many advantages, including the possibility of obtaining excellent exposure without the need for a major laparotomy, and of avoiding the risk of urogenital dysfunction following total mesorectal excision. 17,18 We regard transsacral procedure as an ideal indication for anorectal GIST.…”
Section: Discussionmentioning
confidence: 99%