Assuntos
Adenocarcinoma , Colectomia/métodos , Colo Sigmoide , Histerectomia Vaginal/métodos , Neoplasias Ovarianas , Ovariectomia/métodos , Neoplasias do Colo Sigmoide , Adenocarcinoma/patologia , Adenocarcinoma/secundário , Adenocarcinoma/cirurgia , Adulto , Colo Sigmoide/patologia , Colo Sigmoide/cirurgia , Feminino , Humanos , Laparoscopia/métodos , Invasividade Neoplásica , Estadiamento de Neoplasias , Neoplasias Ovarianas/secundário , Neoplasias Ovarianas/cirurgia , Neoplasias do Colo Sigmoide/patologia , Neoplasias do Colo Sigmoide/cirurgia , Sigmoidoscopia/métodos , Resultado do TratamentoRESUMO
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.
Assuntos
Colo/cirurgia , Neoplasias Retais/cirurgia , Reto/cirurgia , Técnicas de Sutura/tendências , Suturas , Adulto , Idoso , Idoso de 80 Anos ou mais , Anastomose Cirúrgica/métodos , Fístula Anastomótica/prevenção & controle , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Técnicas de Sutura/instrumentação , Resultado do TratamentoRESUMO
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%.
