Abstract
AIM: to decrease anastomotic leakage rate using transanal and transabdominal reinforcing sutures of staple line of colorectal anastomosis. PATIENTS AND METHODS: a prospective randomized trial is started. The main group included patients which underwent anterior or low anterior resection of the rectum with reinforcing of the staple line of colorectal anastomosis using reinforcing sutures on 2, 4, 6, 8, 10 and 12 by conventional dial. The control group consisted of patients without reinforcing of the anastomosis line. RESULTS: from November 2017 to October 2018, 127 patients underwent anterior or low anterior resection of the rectum, 80 of them were included in the study,six were excluded from the study after surgery. Among these 74 patients 40 (54.0 %) were females, mean age was 63.0± 11.0 years. Forty patients consisted the main group, 34 - control. The anastomotic leakage rate in the main group was 7% (3/40), in the control - was 26 % (9/34) (p=0.06). The clinical anastomotic leakage rate in the main group was 3 % (1/40), in the control group - 21 % (7/34) (p=0.03). The anastomotic leakage rate in the main group, after anterior resection of the rectum was 13 % (2/15), in the control - 0 % (0/8) (p=0.8). After low anterior resection the anastomotic leakage rate in the main group was 4 % (1/25), in the control - 35 % (9/26) (p=0.016). Multivariate analysis of risk factors of anastomotic leakage significance associated with male gender (OR 6.88, CI 1,32-of 35.9, p=0,022), positive bubble test (OR 6.26, CI of 1.22-32,2, p=0.028), absence of reinforcing of the anastomosis (OR 4.39, CI 0,96-20,12, p=0,056). CONCLUSION: the reinforcing of colorectal anastomoses decreases anastomotic leakage rate after low anterior resection.
Highlights
AIM: to decrease anastomotic leakage rate using transanal and transabdominal reinforcing sutures of staple line of colorectal anastomosis
The control group consisted of patients without reinforcing of the anastomosis line
RESULTS: from November 2017 to October 2018, 127 patients underwent anterior or low anterior resection of the rectum, 80 of them were included in the study,six were excluded from the study after surgery
Summary
Балкаров А.А.1, Рыбаков Е.Г.1, Пономаренко А.А.1, Алексеев М.В.1,2, Кашников В.Н.1. ВВЕДЕНИЕ. Одна из наиболее важных и актуальных задач колоректальной хирургии – снижение частоты послеоперационных осложнений и несостоятельности колоректального анастомоза, в частности. Снижение частоты несостоятельности анастомоза при формировании колоректальных аппаратных анастомозов с помощью их трансанального и трансабдоминального укрепления. В основной группе выполнена передняя или низкая передняя резекция прямой кишки с дополнительным укреплением линии аппаратного шва на 2, 4, 6, 8, 10, 12 часах по условному циферблату трансанально или трансабдоминально. С ноября 2017 по октябрь 2018 года 127 пациентам выполнена передняя или низкая передняя резекция прямой кишки, из них включено в исследование 74 пациента. В основной группе с укреплением – 40, в контрольной – 34, при этом общая частота несостоятельности анастомоза в основной группе – 7 % (3/40), в контрольной – 26 % (9/34) (p=0,06). Укрепление колоректальных анастомозов снижает частоту несостоятельности анастомоза при выполнении низких передних резекций прямой кишки.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
