The Kraske procedure

A critical analysis of a surgical approach for mid-rectal lesions

Mark Onaitis, Kirk Ludwig, Anthony Perez-Tamayo, Marcia Gottfried, Linda Russell, Phillip Shadduck, Theodore Pappas, Hilliard F. Seigler, Douglas Tyler

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)194-202
Number of pages9
JournalJournal of Surgical Oncology
Volume94
Issue number3
DOIs
StatePublished - Sep 1 2006
Externally publishedYes

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Rectal Diseases
Villous Adenoma
United States Department of Veterans Affairs
Fecal Incontinence
Colostomy
Urinary Retention
Wound Infection
Rectal Neoplasms
Laparotomy
Fistula
Adenocarcinoma
Morbidity
Therapeutics

Keywords

  • Kraske procedure
  • Local excision
  • Rectal cancer

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Onaitis, M., Ludwig, K., Perez-Tamayo, A., Gottfried, M., Russell, L., Shadduck, P., ... Tyler, D. (2006). The Kraske procedure: A critical analysis of a surgical approach for mid-rectal lesions. Journal of Surgical Oncology, 94(3), 194-202. https://doi.org/10.1002/jso.20591

The Kraske procedure : A critical analysis of a surgical approach for mid-rectal lesions. / Onaitis, Mark; Ludwig, Kirk; Perez-Tamayo, Anthony; Gottfried, Marcia; Russell, Linda; Shadduck, Phillip; Pappas, Theodore; Seigler, Hilliard F.; Tyler, Douglas.

In: Journal of Surgical Oncology, Vol. 94, No. 3, 01.09.2006, p. 194-202.

Research output: Contribution to journalArticle

Onaitis, M, Ludwig, K, Perez-Tamayo, A, Gottfried, M, Russell, L, Shadduck, P, Pappas, T, Seigler, HF & Tyler, D 2006, 'The Kraske procedure: A critical analysis of a surgical approach for mid-rectal lesions', Journal of Surgical Oncology, vol. 94, no. 3, pp. 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. Journal of Surgical Oncology. 2006 Sep 1;94(3):194-202. https://doi.org/10.1002/jso.20591
Onaitis, Mark ; Ludwig, Kirk ; Perez-Tamayo, Anthony ; Gottfried, Marcia ; Russell, Linda ; Shadduck, Phillip ; Pappas, Theodore ; Seigler, Hilliard F. ; Tyler, Douglas. / The Kraske procedure : A critical analysis of a surgical approach for mid-rectal lesions. In: Journal of Surgical Oncology. 2006 ; Vol. 94, No. 3. pp. 194-202.
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