FIELD: surgery; oncoproctology.
SUBSTANCE: in a patient with a tumor of the rectum before surgery, the level of preoperative hemoglobin, the volume of the tumor, the presence or absence of diabetes mellitus, the presence or absence of excess body mass index (BMI) is determined. The risk of colorectal anastomosis failure (p) is calculated according to the original formula. When the value of p is less than 0.14, surgical treatment of a tumor of the rectum is completed with the formation of a colorectal anastomosis using a circular stapler; if p is greater than or equal to 0.14, the surgical treatment of the rectal tumor is completed with the formation of a colorectal anastomosis with a circular stapler, followed by the imposition of a preventive intestinal stoma.
EFFECT: method makes it possible to preliminarily assess the risk of colorectal anastomosis failure, to select adequate surgical tactics at the preoperative stage and to reduce postoperative complications in patients at high risk of colorectal anastomosis failure, and thereby increase the effectiveness of treatment.
1 cl, 3 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR PREDICTING EARLY FAILURE OF COLORECTAL ANASTOMOSIS. | 2022 |
|
RU2807932C1 |
METHOD OF SURGICAL TREATMENT OF RECTAL TUMORS | 2019 |
|
RU2709831C1 |
METHOD FOR PREVENTING MECHANICAL COLORECTAL ANASTOMOSIS LEAK | 2014 |
|
RU2567917C1 |
HYBRID TRANSANAL RECTAL RESECTION METHOD | 2018 |
|
RU2698852C2 |
METHOD OF REINFORCING INTERINTESTINAL INSTRUMENTAL ANASTOMOSIS BY SUTURING SECTION OF STAPLER LINE WITH COMBINATION OF NODES | 2022 |
|
RU2816015C2 |
SURGICAL METHOD FOR TREATING RECTAL CANCER CASES | 2006 |
|
RU2319456C1 |
METHOD OF RECTAL MUCOSECTOMY IN TREATING FAMILIAL ADENOMATOUS COLON POLYPOSIS | 2022 |
|
RU2821819C1 |
METHOD FOR MANAGEMENT OF RECTAL LOWER AMPULLA STUMP | 2011 |
|
RU2469655C1 |
METHOD OF FORMING A LAPAROSCOPIC INTRACORPORAL TERMO-TERMINAL CIRCULAR-PERITONIZED COLONIC ANASTOMOSIS | 2018 |
|
RU2689856C1 |
METHOD FOR FORMING TRANSANAL LOW COLORECTAL ANASTOMOSIS DURING SURGICAL TREATMENT OF PATIENTS WITH RECTAL CANCER | 2023 |
|
RU2804594C1 |
Authors
Dates
2023-09-05—Published
2023-04-27—Filed