[Rectum carcinomas treated with Kraske procedure in elderly patients]

Area of Science:

• Surgical Oncology
• Colorectal Surgery
• Geriatric Surgery

Context:

• Rectal cancer treatment presents challenges in elderly patients with comorbidities.
• Minimizing surgical stress and complications is crucial for this demographic.
• Traditional rectal resections may carry significant risks for high-anesthetic-risk individuals.

Purpose:

• To evaluate the feasibility and outcomes of the Kraske procedure in high-anesthetic-risk patients with rectal tumors.
• To assess the Kraske procedure's role in managing mid- and lower-third rectal cancers.
• To discuss the authors' experience with the Kraske procedure in a specific patient cohort.

Summary:

• The Kraske procedure was performed in 9 high-anesthetic-risk patients undergoing rectal resection over six years.
• This technique was utilized for mid- and lower-third rectal cancers.
• Over half of the patients who underwent the Kraske procedure achieved short-term survival.

Impact:

• The Kraske procedure provides a less invasive surgical alternative for select elderly patients with rectal cancer.
• It allows for the management of rectal tumors in patients who might otherwise be poor surgical candidates.
• This study contributes to understanding the role of the Kraske procedure in improving outcomes for high-risk populations.