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[Indications and results of mucosal proctectomy with colo-anal anastomosis in villous disease of the rectum].

Authors :
Petit T
Maurel J
Lebreton G
Gignoux M
Segol P
Source :
Annales de chirurgie [Ann Chir] 1999; Vol. 53 (6), pp. 482-6.
Publication Year :
1999

Abstract

The objective of this study was to define the indication for proctectomy and colo-anal anastomosis in large rectal villous adenomas. The study population consisted of 20 patients (12 men and 8 women; mean age 63.6) who underwent rectal excision and colo-anal anastomosis from 1990 to 1997. The average size of tumors was 59.8 mm; 18 tumors were located in the lower third of the rectal ampulla; 8 patients had prior treatment (surgical or medical) before proctectomy. There were 13 straight colo-anal anastomoses and 7 constructed with colonic J pouch. Eighty percent of the anastomoses were defunctioned by a temporary stoma. The overall morbidity included one case of pelvic sepsis, two anastomotic strictures and one colonic trans-anal prolapse. One patient experienced persistent mild fecal incontinence and two others developed urogenital. The mean hospital stay was 14.4 days and 8.5 days for stoma closure. 8 tumors contained malignancy: 3 Tis, 4 T1 and 1 T2. In our opinion the extension, natural history or potential of occult malignancy of large rectal villous adenomas may requires rectal excision with colo-anal anastomosis with low morbidity and good functional results.

Details

Language :
French
ISSN :
0003-3944
Volume :
53
Issue :
6
Database :
MEDLINE
Journal :
Annales de chirurgie
Publication Type :
Academic Journal
Accession number :
10427839