MANAGEMENT OF LARGE ENCIRCLING MIDRECTAL ADENOMAS IN FRAIL PATIENTS

被引:4
作者
BERGAMASCHI, R [1 ]
ARNAUD, JP [1 ]
机构
[1] UNIV ANGERS,DEPT VISCERAL SURG,F-49033 ANGERS 01,FRANCE
关键词
D O I
10.1007/BF00337589
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Frail patients with extensive circumferential mid-rectal adenomas should be offered adequate surgery given the risk of local recurrence due to unrecognized malignancy. Accordingly, five poor-risk patients aged 77 years on average underwent segmental resection of the rectum with double stapled anastomosis via the Kraske approach. Tumour length varied from 4 to 5 cm and the distance from the anal verge from 6 to 8 cm. There were no complications aside from five painless incisional hernia. Segmental resection of the rectum via a posterior approach offers adequate treatment with low morbidity and is therefore suitable in frail patients for whom laparotomy may carry unacceptable risks.
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页码:53 / 54
页数:2
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