Skip to main content
Journal cover image

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

Publication ,  Journal Article
Onaitis, M; Ludwig, K; Perez-Tamayo, A; Gottfried, M; Russell, L; Shadduck, P; Pappas, T; Seigler, HF; Tyler, DS
Published in: J Surg Oncol
September 1, 2006

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Surg Oncol

DOI

ISSN

0022-4790

Publication Date

September 1, 2006

Volume

94

Issue

3

Start / End Page

194 / 202

Location

United States

Related Subject Headings

  • Suture Techniques
  • Retrospective Studies
  • Rectum
  • Rectal Neoplasms
  • Rectal Fistula
  • Proctoscopy
  • Postoperative Complications
  • Oncology & Carcinogenesis
  • Neoplasm Invasiveness
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Onaitis, M., Ludwig, K., Perez-Tamayo, A., Gottfried, M., Russell, L., Shadduck, P., … Tyler, D. S. (2006). The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions. J Surg Oncol, 94(3), 194–202. https://doi.org/10.1002/jso.20591
Onaitis, Mark, Kirk Ludwig, Anthony Perez-Tamayo, Marcia Gottfried, Linda Russell, Phillip Shadduck, Theodore Pappas, Hilliard F. Seigler, and Douglas S. Tyler. “The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions.J Surg Oncol 94, no. 3 (September 1, 2006): 194–202. https://doi.org/10.1002/jso.20591.
Onaitis M, Ludwig K, Perez-Tamayo A, Gottfried M, Russell L, Shadduck P, et al. The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions. J Surg Oncol. 2006 Sep 1;94(3):194–202.
Onaitis, Mark, et al. “The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions.J Surg Oncol, vol. 94, no. 3, Sept. 2006, pp. 194–202. Pubmed, doi:10.1002/jso.20591.
Onaitis M, Ludwig K, Perez-Tamayo A, Gottfried M, Russell L, Shadduck P, Pappas T, Seigler HF, Tyler DS. The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions. J Surg Oncol. 2006 Sep 1;94(3):194–202.
Journal cover image

Published In

J Surg Oncol

DOI

ISSN

0022-4790

Publication Date

September 1, 2006

Volume

94

Issue

3

Start / End Page

194 / 202

Location

United States

Related Subject Headings

  • Suture Techniques
  • Retrospective Studies
  • Rectum
  • Rectal Neoplasms
  • Rectal Fistula
  • Proctoscopy
  • Postoperative Complications
  • Oncology & Carcinogenesis
  • Neoplasm Invasiveness
  • Middle Aged