ABSTRACT
90 right hemicolectomies (RH) were performed in 2011-2012 yy using the stapled (circular and linear) ileocolic end-to-side anastomosis. This group was compared with 100 RH (2002-2005 yy), performed using linear stapled biangular end-to-end anastomosis. All patients had verified colon cancer. ThÑ mean operative time in the main group was 100±37 min (p>0.05). The time of the anastomosis formation was 7±1.2 min (p>0.05). There were no anastomosis dehiscence and postoperative mortality registered. Re-operation rate was 1.1%. The comparison of two methods revealed, that the end-to-side anastomosis obtained lower risk of postoperative complications (12 vs 26%; p=0.016), anastomosistis (1 vs 8%; p=0.02) and anastomotic dehiscence (0 vs 3%; p>0.05). Therefore, the ileocolic end-to-side anastomosis with circular and linear staplers proved to be a safe method of colon cancer treatment and guarantee the minimal risk of insufficiency and lethality.
