Titre :

Surgical Management of Retrorectal Tumors: A French Multicentric Experience of 270 Consecutives Cases.

Auteur(s) :

Aubert, Mathilde [Auteur]
Aix-Marseille Université - École de médecine [AMU SMPM MED]
Mege, Diane [Auteur]
Parc, Yann [Auteur]
CHU Saint-Antoine [AP-HP]
Rullier, Eric [Auteur]
Hôpital Haut-Lévêque [CHU Bordeaux]
Cotte, Eddy [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Meurette, Guillaume [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Zerbib, Philippe [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Trilling, Bertrand [Auteur]
Département de chirurgie digestive et de l'urgence
Translational Innovation in Medicine and Complexity / Recherche Translationnelle et Innovation en Médecine et Complexité - UMR 5525 [TIMC]
Lelong, Bernard [Auteur]
Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]
Sabbagh, Charles [Auteur]
Simplification des soins chez les patients complexes - UR UPJV 7518 [SSPC]
CHU Amiens-Picardie
Lakkis, Zaher [Auteur]
Service de Chirurgie Digestive [CHRU Besançon]
Ouaissi, Mehdi [Auteur]
Lebreton, Gil [Auteur]
CHU Caen
Rouanet, Philippe [Auteur]
Institut régional de Cancérologie de Montpellier [ICM]
Manceau, G. [Auteur]
Hôpital Européen Georges Pompidou [APHP] [HEGP]
Tuech, J. J. [Auteur]
Piessen, Guillaume [Auteur]
Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277
Bresler, L. [Auteur]
Service de Chirurgie Digestive Hépatobiliaire et Endocrine [CHRU Nancy]
Beyer-Berjot, L. [Auteur]
Hôpital Nord [CHU - APHM]
Denost, Q. [Auteur]
Lefèvre, J. H. [Auteur]
Sorbonne Université [SU]
Panis, Y. [Auteur]

Titre de la revue :

Annals of Surgery

Nom court de la revue :

Ann Surg

Date de publication :

2021-08-03

ISSN :

1528-1140

Mot(s)-clé(s) en anglais :

Kraske procedure
laparoscopy
retrorectal tumor

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objective: To report the largest multicentric experience on surgical management of retrorectal tumors (RRT). Background: Literature data on RRT is limited. There is no consensus concerning the best surgical approach for ...
Lire la suite >Objective: To report the largest multicentric experience on surgical management of retrorectal tumors (RRT). Background: Literature data on RRT is limited. There is no consensus concerning the best surgical approach for the management of RRT. Methods: Patients operated for RRT in 18 academic French centers were retrospectively included (2000-2019). Results: A total of 270 patients were included. Surgery was performed through abdominal (n = 72, 27%), bottom (n = 190, 70%), or combined approach (n = 8, 3%). Abdominal approach was laparoscopic in 53/72 (74%) and bottom approach was Kraske modified procedures in 169/190 (89%) patients. In laparoscopic abdominal group, tumors were more frequently symptomatic (37/53, 70% vs 88/169, 52%, P = 0.02), larger [mean diameter = 60.5 +/- 24 (range, 13-107) vs 51 +/- 26 (20-105) mm, P = 0.02] and located above S3 vertebra (n = 3/42, 7% vs 0%, P = 0.001) than those from Kraske modified group. Laparoscopy was associated with a higher risk of postoperative ileus (n = 4/53, 7.5% vs 0%, P = 0.002) and rectal fistula (n = 3/53, 6% vs 0%, P=0.01) but less wound abscess (n = 1/53, 2% vs 24/169, 14%, P = 0.02) than Kraske modified procedures. RRT was malignant in 8%. After a mean follow up of 27 +/- 39 (1-221) months, local recurrence was noted in 8% of the patients. After surgery, chronic pain was observed in 17% of the patients without significant difference between the 2 groups (15/74, 20% vs 3/30, 10%; P = 0.3). Conclusions: Both laparoscopic and Kraske modified approaches can be used for surgical treatment of RRT (according to their location and their size), with similar long-term results.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277
• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Date de dépôt :

2024-01-12T06:17:22Z
2024-02-28T10:21:37Z