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

2006; Wiley; Volume: 94; Issue: 3 Linguagem: Inglês

10.1002/jso.20591

1096-9098

Mark W. Onaitis, Kirk Ludwig, Ruy Pérez-Tamayo, Marcia R. Gottfried, Linda Russell, Phillip P. Shadduck, Theodore N. Pappas, Hilliard F. Seigler, Douglas S. Tyler,

Colorectal and Anal Carcinomas

Journal of Surgical OncologyVolume 94, Issue 3 p. 194-202 Research Article The Kraske procedure: A critical analysis of a surgical approach for mid-rectal lesions Mark Onaitis MD, Mark Onaitis MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorKirk Ludwig MD, Kirk Ludwig MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorAnthony Perez-Tamayo MD, PhD, Anthony Perez-Tamayo MD, PhD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorMarcia Gottfried MD, Marcia Gottfried MD Department of Pathology, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorLinda Russell FNP, Linda Russell FNP Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorPhillip Shadduck MD, Phillip Shadduck MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorTheodore Pappas MD, Theodore Pappas MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorHilliard F. Seigler MD, Hilliard F. Seigler MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorDouglas S. Tyler MD, Corresponding Author Douglas S. Tyler MD tyler002@acpub.duke.edu Department of Surgery, Duke University Medical Center, Durham, North CarolinaDepartment of Surgery, Duke University Medical Center, P.O. Box 3118, Durham 27710, NC. Fax: 919-684-6858.Search for more papers by this author Mark Onaitis MD, Mark Onaitis MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorKirk Ludwig MD, Kirk Ludwig MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorAnthony Perez-Tamayo MD, PhD, Anthony Perez-Tamayo MD, PhD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorMarcia Gottfried MD, Marcia Gottfried MD Department of Pathology, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorLinda Russell FNP, Linda Russell FNP Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorPhillip Shadduck MD, Phillip Shadduck MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorTheodore Pappas MD, Theodore Pappas MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorHilliard F. Seigler MD, Hilliard F. Seigler MD Department of Surgery, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this authorDouglas S. Tyler MD, Corresponding Author Douglas S. Tyler MD tyler002@acpub.duke.edu Department of Surgery, Duke University Medical Center, Durham, North CarolinaDepartment of Surgery, Duke University Medical Center, P.O. Box 3118, Durham 27710, NC. Fax: 919-684-6858.Search for more papers by this author First published: 09 August 2006 https://doi.org/10.1002/jso.20591Citations: 27AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Background and Objectives To analyze the Kraske procedure as an approach to mid-rectal disease. Methods Twenty-two patients underwent a Kraske procedure at either Duke University Medical Center, the Durham Veterans Administration Medical Center, or the Durham Regional Hospital between 1992 and 1997. The clinical and pathologic characteristics of these patients were retrospectively analyzed and compared with previous published series. Results Of the 22 patients, 13 underwent resection of an adenocarcinoma and 9 underwent resection of a villous adenoma. Post-operative complications included four fecal fistulas (two of which required a temporary diverting colostomy), two wound infections, two cases of urinary retention, and one case of transient fecal incontinence. Conclusions The Kraske procedure minimizes exposure of mid-rectal lesions without the morbidity of a major laparotomy. However, it does carry a moderate complication rate and thus should be utilized selectively in managing patients with mid-rectal tumors not amenable to other treatment options. J. Surg. Oncol. 2006;94:194–202. © 2006 Wiley-Liss, Inc. Citing Literature Volume94, Issue31 September 2006Pages 194-202 RelatedInformation