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using full-thickness skin grafts. Tech Coloproctol. 2004Nov;8 Suppl 1:s85-8. PMID:

15655654 [PubMed]. [Scopus]

Abstract: 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 homeotransplantation. 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.

2. Christakis C, Chatzidimitriou C, Kontos N, Papadopoulou S, Karanikas M. Use of intraluminal

stapler device for creation of a permanent colostomy. Tech Coloproctol. 2004Nov;8 Suppl
1:s93-6. PMID: 15655656 [PubMed] [Scopus]

Abstract: We present our experience with the use of the intraluminal stapler device for the
purpose of creating of a dermal permanent colostomy, in cases of acute emergency

operations and of regular programmed operations. The advantages of this method for those
surgeons who use stapling devices are: controlled safety of the colostomy, shorter operation

time and the creation of a stable diameter of the colostomy. All patients of this category as
well as those having been operated on for colon cancer have been placed on a protocol follow

up for three years and are closely monitored. This has allowed us to closely follow these
patients in cases of complications.

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