Surgical treatment strategy of full circular rectal villous adenoma upon dentate line: report of 5 cases

doi:10.3877/cma.j.issn.2095-3224.2019.02.015

Abstract

Abstract:

Objective

To explore the surgical approaches of full circular rectal villous adenoma upon dentate line.

Methods

Five patients with full circular rectal villous adenoma upon dentate line operated in our hospital were retrospectively studied, they were treated by transanal operation or rectal pull through operation with ileostomy.

Results

The patients recovered well. The anal function was satisfactory after the treatment. There was no perioperative mortality.

Conclusion

As villous adenoma is a kind of benign tumor; colorectal surgeon should formulate the surgical approach base on individual condition. Both of approaches have satisfactory effect for full circular rectal villous adenoma upon dentate line.

Key words: Rectum, Villous adenoma, Surgical approaches, Transanal operation, Rectal pull through operation

Jinke Sui, Qi Wang, Fuao Cao, Haifeng Gong, Zheng Lou, Ronggui Meng, Wei Zhang. Surgical treatment strategy of full circular rectal villous adenoma upon dentate line: report of 5 cases[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(02): 179-182.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2019.02.015

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2019/V08/I02/179

Figures/Tables 1

References 8

[1]	Lefebure B,Tuech JJ,Bridoux V, et al. Evaluation of selective defunctioning stoma after low anterior resection for rectal cancer [J]. Int J Colorectal Dis, 2008, 23(3):283-288.
[2]	Das P, Vijay MK, Yadav R, et al. Giant villous adenoma of rectum mimicking an infiltrating adenocarcinoma [J]. Trop Gastroenterol, 2015, 36(2):137-139.
[3]	Pikarsky A, Wexner S, Lebensart P, et al. The use of rectal ultrasound for the correct diagnosis and treatment of rectal villous tumors [J]. Am J Surg, 2000, 179(4):261-265.
[4]	Touzios J, Ludwig KA. Local management of rectal neoplasia [J]. Clin Colon Rectal Surg, 2008, 21(4):291-299.
[5]	Roriz-Silva R, Andrade AA, Ivankovics IG, et al. Giant rectal villous adenoma:surgical approach with rectal eversionand perianal coloanal anastomosis [J]. Int J Surg Case Rep, 2014, 5(2):97-99.
[6]	左志贵，张卫，龚海峰, 等. 拖出式直肠适形切除在低位直肠肿瘤保肛手术中的应用[J]. 中华外科杂志, 2013, 51(6):570-571.
[7]	Debove C, Svrcek M, Dumont S, et al. Is the assessment of submucosal invasion still useful in the management of early rectal cancer? A study of 91 consecutive patients[J]. Colorectal Dis, 2017, 19(1):27-37.
[8]	朱晓明，楼征，白晨光, 等. 低位直肠癌拖出式适形切除术肠壁侧切缘安全距离的初步探讨[J].中华胃肠外科杂志, 2016, 19(9):1025-1029.

[1]	Yanbin Wang, Jiahua Shen, Cuijuan Li. Affect analysis of PPH combined with ligation in treatment of female rectal protrusion combined with rectum mucosal prolapse [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(04): 450-453.
[2]	Jiansheng Hu, Zuolin Zhou, Linmei Sun, Tenghui Ma. Clinical outcomes of chronic radiation rectal injury with different diagnostic types: a retrospective analysis of 85 cases [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 466-472.
[3]	Bo Li, Gang Hu, Wenlong Qiu, Jianqiang Tang, Xishan Wang. Multifunctional indocyanine green near infrared fluorescence imaging technique in the application of natural norifice specimen extraction surgery for rectum cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 524-528.
[4]	Lingling Wang, Haipeng Chen, Zheng Liu. The progress of occurrence, mechanism, diagnosis and treatment of peritoneal adhesions [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(02): 112-116.
[5]	Jian Qiu. Embryonic development procession of abdomen and pelvis [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(01): 21-27.
[6]	. Laparoscopic pelvic retroperitoneal tumor resection with sampling retraction through rectum [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(01): 85-88.
[7]	Dongdong Wang, Hang Yi, Ze Zhang, Gang Zhao, Guoju Wu. Peritoneal loose body in an elderly patient: a case report and literature review [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2022, 11(05): 434-436.
[8]	Li Wang, Fan Li, Chunxue Li, Anping Zhang, Baohua Liu, Weidong Tong. Outcomes of different transabdominal and transperineal surgical procedures for internal rectal prolapse [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2022, 11(05): 384-391.
[9]	Bo Wei, Shengxin Huang, Hongbo Wei. Understanding the Denonvilliers' fiscia and its clinical application value from the perspective of minimally invasive anatomy [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2022, 11(03): 192-197.
[10]	Dan Zhu, Lingkang Meng, Yong Zhu. Colitis cystica profunda with partial low-grade intraepithelial neoplasia of the glandular epithelium:report of a case [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(06): 663-666.
[11]	Junhua Xu, Yi Hou, Yong Zhu, Jiajun Tan, Ting Lu, Zhengxin Chen. Application of preoperative nano carbon localization and intraoperative colonoscopy localization in laparoscopic resection of rectal adenoma [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(06): 659-662.
[12]	Peng Liu, Zheng Lou, Wei Zhang. Closure strategy of distal rectum in laparoscopic surgery for rectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(06): 572-575.
[13]	Yiting Li, Sangsang Wu, Qiyao Ma, Min Ni. Application and research progress on the pudendal nerve modulation in the analrectal disease [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(05): 524-527.
[14]	Xiangxing Kong, Yeting Hu, Kefeng Ding, Jianwei Wang. A case of pelvic huge solitary fibrous tumor with rectum and retroperitoneum invasion [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(03): 324-326.
[15]	Zhiwei Liu, Liting Zhao, Zhirong Yu, Youpeng Chen. Relationship between metabolic syndrome and colorectal tubular villous adenoma [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2022, 12(04): 215-219.

Please choose a citation manager

Content to export