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

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Onaitis, M; Ludwig, K; Perez-Tamayo, A; Gottfried, M; Russell, L; Shadduck, P; Pappas, T; Seigler, HF; Tyler, DS

Published Date

  • September 1, 2006

Published In

Volume / Issue

  • 94 / 3

Start / End Page

  • 194 - 202

PubMed ID

  • 16900535

International Standard Serial Number (ISSN)

  • 0022-4790

Digital Object Identifier (DOI)

  • 10.1002/jso.20591

Language

  • eng

Conference Location

  • United States