Experience in the application of a compression anastomosis for oncosurgery of gastrointestinal tract
Author Affiliations1Kurgan Regional Oncology Center, 641000, Kurgan, Karbyshev str., 33
2Shadrinsk Emergency Hospital, 641870, Shadrinsk, Maltsevskiy tract, 10
3Chelyabinsk Regional Oncology Center, 454087, Chelyabinsk, Blyukher str., 42
4Kurgan Regional Hospital, 641000, Kurgan, Tomin str., 63
Abstract
332 operations for gastrointestinal tract cancer have been carried out at the premises of the Shadrinsk Emergency Hospital from 2004 to 2015. Various compression devices have been used at anastomosis forming. In total complications were revealed in 17 cases (5.1 %). Anastomosis quality related complications were in 7 (2.1 %) patients. Death was in 8 (2.4 %) cases. The experience and compression devices application in cancer surgery have been demonstrated. The compression devices application simplifies and hastens the method of anastomosis forming and results in morbidity decrease connected with the suture quality.
Key words
References
- Agaev E.K. Insolvency of intestinal anastomosis seams in patients after emergency and urgent bowel resection. Khirurgiya. 2012. (1). 34–37. (In Russian)
- Dambaev G.Ts., Gyunter V.E., Zigan'shin R.V. et al. Medical materials and implants with shape memory: 14 volumes. Implants with shape memory in surgery. Ed. V.E. Gyunter. Vol. 11. Tomsk: MITs, 2013. 126 p. (In Russian)
- Kanshin N.N. Surgical treatment of postoperative peritonitis caused by intestinal seam failure. Moscow: Profil', 2004. 5. (In Russian)
- Konovalov D.Yu., Kagan I.I., Esipov V.K. et al. Clinical and endoscopic assessment of healing of colon microsurgical anastomoses. Morfologiya. 2008. 134. (5). 75. (In Russian)
- Choy P.Y, Bissett I.P, Docherty J.G. et al. Stapled versus handsewn methods for ileocolic anastomoses. Cochrane Database Syst. Rev. 2011. 7. (9). CD004320.
- Kim H., Lee W., Jung K. Early surgical outcomes of NiTi endoluminal compression anastomotic clip (NiTi CAC 30) use in patients with gastrointestinal malignancy. J. Laparoendosc. Adv. Surg. Tech. 2012. 22. (5). 472–478.
- Kingham T.P., Pachter H.L. Colonic anastomotic leak: risk factors, diagnosis, and treatment. J. Am. Coll. Surg. 2009. 208. 269–278.
- Lim C.B., Goldin R.D., Darzi A., Hanna G.B. Characterization of materials eliciting foreign body reaction in stapled human gastrointestinal anastomoses.Br. J. Surg. 2008. 95. (8). 1044–1050.
- Masoomi H., Luo R., Mills S. et al. Compression anastomosis ring device in colorectal anastomosis: a review of 1800 patients. Am. J. Surg. 2013. 205. (4). 447–451.
- Neutzling. C.B., Lustosa S.A., Proenca I.M. et al. Stapled versus handsewn methods for colorectal anastomosis surgery. Cochrane Database Syst. Rev. 2012. 15. (2). CD003144.
About Authors (Correspondence):
Vlasov A.A. – candidate of medical sciences, oncologist, e-mail: droncovlasov@shadrinsk.net
Vlasov A.V. – chief of oncology department
Vazhenin A.V. – corresponding member of RAS, doctor of medical sciences, professor of the chair for oncology and radiotherapy
Plotnikov V.V. – doctor of medical sciences, professor of the chair for clinical discipline
Full Text
