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