Asunto(s)
Adenocarcinoma , Colectomía/métodos , Colon Sigmoide , Histerectomía Vaginal/métodos , Neoplasias Ováricas , Ovariectomía/métodos , Neoplasias del Colon Sigmoide , Adenocarcinoma/patología , Adenocarcinoma/secundario , Adenocarcinoma/cirugía , Adulto , Colon Sigmoide/patología , Colon Sigmoide/cirugía , Femenino , Humanos , Laparoscopía/métodos , Invasividad Neoplásica , Estadificación de Neoplasias , Neoplasias Ováricas/secundario , Neoplasias Ováricas/cirugía , Neoplasias del Colon Sigmoide/patología , Neoplasias del Colon Sigmoide/cirugía , Sigmoidoscopía/métodos , Resultado del TratamientoRESUMEN
Treatment results of 311 patients with rectal cancer T1-4N0-2M0-1, who received the anterior rectal resection with mechanic circular colorectal anastomosis, were analyzed. The minimal frequency of the anastomotic insufficiency was registered among the "end-to-side" anastomosis (3.75%). Mechanical suturing of the rectal stump did not increase the risk of insufficiency. The use of the preventive colostoma allows the formation of the primary anastomosis even in conditions of partial intestinal obstruction. The laparoscopic anterior rectal resections did not influence the insufficiency rate, being preferable considering the postoperative rehabilitation terms.
Asunto(s)
Colon/cirugía , Neoplasias del Recto/cirugía , Recto/cirugía , Técnicas de Sutura/tendencias , Suturas , Adulto , Anciano , Anciano de 80 o más Años , Anastomosis Quirúrgica/métodos , Fuga Anastomótica/prevención & control , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Técnicas de Sutura/instrumentación , Resultado del TratamientoRESUMEN
The main cause of lethal outcomes after operations on the oesophagus and cardia remains failure of esophageal anastomosis. The lack of substantial positive changes in prophylaxis and especially in treatment of this complication is explained by etiological approach to this problem. Pathogenesis of the failure is determined by the only trigger--penetration of infection into the tissues of anastomotic area. The authors have developed and introduced into practice the method and the device to influence the basic link of the pathogenesis. The application of the method of permanent irrigation and sealing of the esophageal anastomosis line in treatment of 917 patients made it possible to cut down lethal outcomes from insufficiency of esophageal anastomosis to 0.1%.