Title :

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

Author(s) :

Aubert, Mathilde [Auteur]
Aix-Marseille Université - École de médecine [AMU SMPM MED]
Mege, Diane [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Parc, Yann [Auteur]
CHU Saint-Antoine [AP-HP]
Rullier, Eric [Auteur]
Hôpital Haut-Lévêque [CHU Bordeaux]
Cotte, Eddy [Auteur]
Meurette, Guillaume [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Zerbib, Philippe [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Institute for Translational Research in Inflammation - U 1286 [INFINITE]
Trilling, Bertrand [Auteur]
Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications Grenoble - UMR 5525 [TIMC-IMAG]
Département de chirurgie digestive et de l'urgence
Lelong, Bernard [Auteur]
Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]
Sabbagh, Charles [Auteur]
CHU Amiens-Picardie
Simplification des soins chez les patients complexes - UR UPJV 7518 [SSPC]
Lakkis, Zaher [Auteur]
Service de Chirurgie Digestive [CHRU Besançon]
Ouaissi, Mehdi [Auteur]
CHU Trousseau [Tours]
Lebreton, Gil [Auteur]
CHU Caen
Rouanet, Philippe [Auteur]
Institut régional de Cancérologie de Montpellier [ICM]
Manceau, Gilles [Auteur]
Hôpital Européen Georges Pompidou [APHP] [HEGP]
Tuech, Jean-Jacques [Auteur]
Service de Chirurgie Digestive [CHU Rouen]
Piessen, Guillaume [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Bresler, Laurent [Auteur]
Service de Chirurgie Digestive Hépatobiliaire et Endocrine [CHRU Nancy]
Beyer-Berjot, Laura [Auteur]
Hôpital Nord [CHU - APHM]
Denost, Quentin [Auteur]
Hôpital Haut-Lévêque [CHU Bordeaux]
Lefevre, Jeremie H. [Auteur]
Sorbonne Université [SU]
Panis, Yves [Auteur]
Sorbonne Université - Faculté de Médecine [SU FM]
Gr, French Res Grp Rectal Canc Surg [Auteur]

Journal title :

Annals of Surgery

Pages :

766-772

Publisher :

Lippincott, Williams & Wilkins

Publication date :

2021

ISSN :

0003-4932

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [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 ...
Show more >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.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL