[Approaches for formation of the large bowel anastomoses for prophylaxis of their sutures insufficiency]

Autor: N N, Militsa, N D, Postolenko, K N, Militsa, I N, Angelovskiĭ, V V, Soldusova, V S, Kazakov
Rok vydání: 2015
Předmět:
Zdroj: Klinichna khirurhiia. (11)
ISSN: 0023-2130
Popis: The results of surgical treatment of 424 patients, in whom the postponed and elective surgery was done for the large bowel malignancies, were analyzed. Advantages of a one-layer suture while formation of a large-bowel anastomoses in comparison with a two-layer suture were noted: minimal rate of the sutures insufficiency--(4.9 +/- 0.8)%, and (7.9 +/- 1.7)%, accordingly (p0.001). Mostly often insufficience of the colorectal anastomosis sutures was observed after anterior rectal resection--in (9.7 +/- 1.9)% and (7.2 +/- 1.5)% patients. Postoperative lethality was 2.6%, for majority of the patients the reasons of the death were pulmonary thromboembolism and an acute cardio-vascu- lar insufficiency.
Databáze: OpenAIRE