| Autor: |
Christakis, C., Vaklavas, C., Kontos, N., Chatzidimitriou, C., Tzelepi, K., Karanikas, M., Christakis, E. |
| Předmět: |
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| Zdroj: |
Techniques in Coloproctology; Nov2004 Supplement 1, Vol. 8, ps85-s88, 4p |
| Abstrakt: |
Background To find a safe and effective method of pelvic reconstruction after abdominoperineal resection in order to prevent small intestine from descending into the pelvis. This allows safe delivery of optimal doses of radiation therapy, which exceed radiation tolerance of the small intestine, in advanced stages of colorectal cancer. Materials Prospective, ongoing study examining patients who underwent abdominoperineal resection and pelvic reconstruction with full-thickness skin grafts. Methods Nine (9) patients underwent abdominoperineal resection of the rectum and pelvic reconstruction with full-thickness skin grafts for colorectal cancer stage C. Subsequently they were referred for adjuvant radiation therapy and followed up regularly for surgical complications and disease recurrence. Results All patients successfully completed postoperative radiation therapy and there were no serious surgical complications pertaining to the initial operation and the skin homeotrans plantation. None of the patients needed reoperation, so the long-term outcome of the transplantation was not surgically evaluated. Conclusions Reconstruction of the peritoneal gap after abdominoperineal resection of the rectum with full-thickness skin graft is a safe and effective method. The small intestine was effectively excluded from the pelvis allowing successful completion of adjuvant radiation therapy with minimal irradiation of the small intestine and effective prevention of radiation enteritis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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