COMPARATIVE EVALUATION OF TECHNIQUES IN COLONIC ANASTOMOSIS

Abstract

A multicenter retrospective clinical trial was conducted between January 2003 to December 2013 in patients undergoing elective and emergency colon cancer resections. The patients were divided into 4 groups with different methods of colonic anastomoses. According to the comparative evaluation of early postoperative complications, there was a statistically significant decrease in the total number of complications (n=1; 1,4%) in the study group with using compression anastomotic device. All three methods of compression anastomosis had statistically and significantly fewer anastomotic leaks (P<0.05), the total number of complications (P<0.01) and mortality (P<0.05) a comparison manual doublelayer suture. The compression colonic anastomosis not prone to scarring and significantly reduces cases of strictures (P<0.01) a comparison manual double-layer suture in long-term results. The use of new technology of compression anastomosis is an effective and safe method in colon cancer surgery.

Keywords

• рак толстой кишки
• компрессионный анастомоз
• компрессионный сшиватель кишечника