Trans‐sacral (Kraske) approach for gastrointestinal stromal tumour of the lower rectum: old procedure for a new disease
- 29 October 2008
- journal article
- case report
- Published by Wiley in Colorectal Disease
- Vol. 10 (9), 951-952
- https://doi.org/10.1111/j.1463-1318.2008.01489.x
Abstract
Gastrointestinal stromal tumours (GISTs) of the lower rectum are rare cancers from mesenchymatous origin, which are characterized by; 1) the absence of metastases in loco-regional lymph nodes; and 2) a tendency to grow opposite to the intestinal lumen. Thus, the two preferred surgical approaches for rectal adenocarcinomas (i.e. abdominal and transanal) are inappropriate for GISTs, due to: 1) the uselessness of total mesorectal excision; and 2) to the difficulty to locate the tumour with a transanal approach. We report here a case of a large GIST of the lower rectum which was successfully treated with a posterior trans-sacral approach. Lower rectum GISTs are good indications for the Kraske procedure, and this relatively new disease entity may contribute to the reintroduction of an old procedure into the armamentarium of 21(st) century colorectal surgeonsKeywords
This publication has 5 references indexed in Scilit:
- Transsacral Approach to Resect a Gastrointestinal Stromal Tumor in the Rectum: Report of Two CasesSurgery Today, 2007
- The Kraske procedure: A critical analysis of a surgical approach for mid-rectal lesionsJournal of Surgical Oncology, 2006
- Clinical, Pathologic, and Immunohistochemical Characteristics of Gastrointestinal Stromal Tumors of the Colon and Rectum: Implications for Surgical Management and Adjuvant TherapiesDiseases of the Colon & Rectum, 2006
- The Epidemiology of Malignant Gastrointestinal Stromal Tumors: An Analysis of 1,458 Cases from 1992 to 2000The American Journal of Gastroenterology, 2005
- Gastrointestinal Stromal Tumors, Intramural Leiomyomas, and Leiomyosarcomas in the Rectum and AnusThe American Journal of Surgical Pathology, 2001