title: Management of large encircling mid-rectal adenomas in frail patients.
abstract: Frail patients with extensive circumferential mid-rectal adenomas should be offered adequate surgery given the risk of local recurrence due to unrecognized malignancy. Accordingly, five poor-risk patients aged 77 years on average underwent segmental resection of the rectum with double stapled anastomosis via the Kraske approach. Tumour length varied from 4 to 5 cm and the distance from the anal verge from 6 to 8 cm. There were no complications aside from five painless incisional hernia. Segmental resection of the rectum via a posterior approach offers adequate treatment with low morbidity and is therefore suitable in frail patients for whom laparotomy may carry unacceptable risks.
authors.affiliation: Department of Visceral Surgery, University of Angers, France.
authors.forename: R
authors.initials: R
authors.lastname: Bergamaschi
authors.forename: J P
authors.initials: JP
authors.lastname: Arnaud
mesh_terms: D000236:Adenoma / Q000601:surgery*; D000368:Aged; D005260:Female; D016330:Frail Elderly; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D017792:Surgical Stapling