{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:11:07Z","timestamp":1745554267308,"version":"3.40.4"},"reference-count":18,"publisher":"S. Karger AG","issue":"1-2","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Although there are many advantages of a posterior approach to rectal disease, these procedures are not widely accepted because many surgeons fear the postoperative complications. &lt;i&gt;Methods:&lt;\/i&gt; The medical records were reviewed of 57 patients who underwent a posterior approach to the rectum between January 1980 and December 2002. &lt;i&gt;Results:&lt;\/i&gt; Twenty-eight men and 29 women with a mean age of 70.5 (range 47\u201383) years underwent either a posterior transsacral (n = 52) or a transsphincteric (n = 5) procedure. Indications for surgery were benign lesions (n = 33), e.g. villous adenoma, rectal prolapse and endometriosis as well as invasive adenocarcinoma (n = 24). All patients with an invasive adenocarcinoma were classified as ASA grade III or IV. Postoperative morbidity occurred in 12 patients (21%), consisting of temporary incontinence, anastomotic leakage, wound infection, and hemorrhage. There was no mortality. During a mean follow-up of 29 (range 2\u201386) months, 3 patients with a villous adenoma and 2 patients who were treated for a malignant lesion had a locally recurrent lesion. &lt;i&gt;Conclusion:&lt;\/i&gt; We believe that a posterior approach to the rectum should be considered for various benign and selected malignant diseases, especially in case of elderly patients or patients with a compromised general condition, and has to be a part of the surgeon\u2019s armamentarium.<\/jats:p>","DOI":"10.1159\/000085298","type":"journal-article","created":{"date-parts":[[2005,4,22]],"date-time":"2005-04-22T06:35:19Z","timestamp":1114151719000},"page":"86-90","source":"Crossref","is-referenced-by-count":17,"title":["The Place of the Posterior Surgical Approach for Lesions of the Rectum"],"prefix":"10.1159","volume":"22","author":[{"given":"T.","family":"Terkivatan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.T.","family":"den Hoed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.F.M.","family":"Lange","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.C.M.","family":"Koot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.J.","family":"van Goch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.F.","family":"Veen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2005,5,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00704356"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00187887"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-198206000-00001"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-195406000-00015"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800670914"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2F0002-9610%2887%2990199-1"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2FS0960-7404%2801%2900021-4"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02051167"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1445-2197.1990.tb07347.x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-199011000-00007"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02258299"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10434-999-0026-3"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002%2F1097-0142%2819920115%2969%3A2%3C322%3A%3AAID-CNCR2820690208%3E3.0.CO%3B2-B"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016%2F0002-9610%2878%2990245-3"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02587632"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2F0002-9610%2869%2990123-8"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00300203"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02047206"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/85298","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/85298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:50:12Z","timestamp":1745466612000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000085298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":18,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2005,5,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000085298","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2005]]}}}