METHODS OF ILEO-TRANSVERSE AND COLON INVAGINATIONAL ANASTOMOSES CREATING

  • S. M. Chobey
  • O. O. Dutko
Keywords: colon anastomosis, ileo-transverse anastomosis, anastomotic leakage, colon cancer, experimental surgery.

Abstract

Summary. The aim of the study. To improve the results of patients with tumors and non-neoplastic diseases of the colon treatment, to introduce into clinical practice the original surgical technique and methods of creating of colon anastomoses, which were tested in experiment.

Materials and methods. Original methods of invaginational ileo-transverse and colon anastomoses creating were developed in the experiment on rabbits. Taking into account the obtained positive results, the methods of anastomoses formation were transferred to the surgical clinic and patents of Ukraine were obtained.

In 2020, ileo-transverse and colonic anastomoses were formed in 134 patients on the basis of Transcarpathian Antitumor Center: one-row invaginational anastomosis according to the developed method in 22 patients (16.4 %), two-row manual — in 58 (43.3 %), circular stapler — in 36 (26.9 %), linear stapler anastomosis — in 4 (3 %), laparoscopic (linear stapler) — in 14 (10.4 %).

Results and discussion. The most of complications occurred in the group with manual two-row anastomosis (16), in two cases the anastomotic leakage was recorded. When using a circular stapler suture, anastomotic leakage was observed in 1 patient, and anastomositis — in 4. When using linear stapler anastomoses, postoperative wound suppuration was observed in 1 patient.

Conclusions. The most of early postoperative complications was observed after using a two-row manual colonic anastomosis (27.5 %). When using a circular stapler suture, the number of early postoperative complications was less than with a two-row manual anastomosis (22.2 % vs. 27.5 %, respectively). The least number of complications was recorded after the creation of a one-row invaginational anastomosis in the proposed original technique.

References

1. Cherdantsev DV. Pozdnyakov AA. Shpak VV. Ryabkov YuV. Popov Aye. Nesostoyatelnost kolorektalnogo anastomoza. Sovremennoye sostoyaniye problemy (obzor literatury). Koloproktologiya. 2015(4):57-64. (In Rus).
2. Bakker IS, Grossmann I, Henneman D, Havenga K, Wiggers T. Risk factors for anastomotic leakage and leak-related mortality after colonic cancer surgery in a nationwide audit. British Journal of Surgery. 2014 Mar 1;101(4):424-32. DOI: 10.1002/bjs.9395
3. Halawani HM, Faraj W, Khoury G, Khalifeh F, Deeba S. Colorectal anastomotic leaks: a brief review of current literature. World Journal of Colorectal Surgery. 2015;4(4):4.
4. Belyj VJa, Rusin VI, Fomin PD, Chobej SM, Cema EE. Ocherki hirurgii raka tolstoj kishki. Uzhgorod: Karpaty; 2020. 252 p. (In Rus).
5. Rusyn VI, Chobei SM, Dutko OO. Formuvannia tovstokyshkovoho anastomozu z metoiu zabezpechennia vysokoho rivnia mekhanichnoi mitsnosti ta hermetychnosti. Kharkivska khirurhichna shkola. 2020;2:127-33. (In Ukr). DOI: https://doi.org/10.37699/2308-7005.2.2020.25
6. Rusyn VI, Chobei SM, Rusyn VV, Dutko OO, vynakhidnyky; Rusyn VI, patentovlasnyk. Sposib stvorennia ileotransverzoanastomozu. Patent Ukrainy № 142293. 2020 trav. 25. [In Ukr].
7. Rusyn VI, Chobei SM, Rusyn VV, Dutko OO, vynakhidnyky; Rusyn VI, patentovlasnyk. Sposib stvorennia tovsto-tovstokyshkovoho anastomozu. Patent Ukrainy № 142292. 2020 trav. 25. (In Ukr).
8. Rusyn VI, Chobei SM, Rusyn VV, Dutko OO, vynakhidnyky; Uzhhorodskyi natsionalnyi universytet, patentovlasnyk. Sposib stvorennia tovsto-tovstokyshkovoho invahinatsiinoho anastomozu po typu «kinets v bik». Patent Ukrainy № 142691. 2020 cherv. 25. (In Ukr).
9. Rusyn VI, Chobei SM, Dutko OO. Patohenez porushennia tsilisnosti anastomozu ta prohrama profilaktyky pry khirurhichnomu likuvanni zakhvoriuvan obodovoi kyshky. Klinichna khirurhiia. 2020;3-4:40-3. (In Ukr). DOI: https:// doi.org/10.26779/2522-1396.2020.3-4.40
Published
2021-03-20
How to Cite
Chobey, S. M., & Dutko, O. O. (2021). METHODS OF ILEO-TRANSVERSE AND COLON INVAGINATIONAL ANASTOMOSES CREATING. Kharkiv Surgical School, (1), 96-101. https://doi.org/10.37699/2308-7005.1.2021.18
Section
QUESTIONS OF GASTROINTESTINAL TRACT