RESUMO
The work is devoted to experimental investigation and practical application of the objective intraoperative diagnosis method for the intestinal transplant state estimation, which is prepared for descendence to perineum, using modified pulsoximetric data analyser in environment of experimental modelling of abdominoanal rectal resection, resulting in determination of objective indices of the intestinal transplant vital capacity. The method of operative intervention in experiment on laboratory animals is adduced. The expediency of application of modified pulsoximetric data analyser in colorectal surgery was established.
Assuntos
Colo/transplante , Monitorização Intraoperatória/métodos , Transplante de Órgãos/patologia , Períneo , Transplantes , Animais , Colo/irrigação sanguínea , Colo/patologia , Cães , Feminino , Masculino , Monitorização Intraoperatória/instrumentação , Necrose , Consumo de Oxigênio , Períneo/cirurgia , Pulso ArterialRESUMO
Surgical treatment of recurrent rectal tumors is a challenge for cancer surgeons. Due to the high risk of intraoperative and postoperative complications, such tumors are often considered inoperable. We present a clinical case of 56-years-old male patient with local recurrence and pathological fracture of the sacrum at S5 level to whom en-bloc distal sacrectomy was performed. Such surgical technique for recurrence of rectal cancer provides significant improvement in local and general condition and creates a favorable prognosis for the patient's survival, which is demonstrated by the described clinical case.