METHOD OF TWO-STEP TREATMENT OF LARGE INTESTINE CANCER Russian patent published in 2013 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to surgery and can be applied for two-step treatment of large intestine cancer. Resection of large intestine section is performed. Ends of adducting and abducting 4-5 cm long segments of large intestine are released from mesentery and appendices epiploicae. A row of serous-muscular sutures is applied on walls of released from mesentery and appendices epiploicae sections of adducting and abducting segments of large intestine immediately near mesentery. Two sutures are applied on lateral walls of adducting and abducting segments of large intestine with 2-3 cm indent from the line of said sutures in direction towards transected edges of intestine A row of through interrupted sutures is applied on posterior walls of sewn to each other intestine segments, after that, they are dissected on the centre of the row to the depth 1-1.5 cm, separate through interrupted sutures are applied on dissected section of posterior walls of adducting and abducting segments of intestine. Edges of dissected peritoneum are mobilised 3-4 cm apart. Sewn to each other segments of intestine are brought out on abdominal wall and fixed with interrupted sutures to peritoneum, aponeurosis and skin. After 2-3 months restoration of intestinal continuity is performed.

EFFECT: method makes it possible to reduce development of cicatricial changes, reduce risk of purulent-septic complications, reduce risk of anastomosis suture failure.

13 dwg