[The results of using necessarily low anterior resections for carcinoma of the lower half of the middle third of the rectum].
Compulsively low anterior resection of rectum was performed in patients with tumor localized in the lower half of the middle one third of the rectum (7-10 cm from the anorectal line) and vague vascular arcades in the left half of the colon or having very fat meso. The following technique was applied: The left half of the colon was mobilized, releasing it from the gastrocolic junction, and the rectum--to the anal sphincters; One-stage anastomosis with step-like course of the catgut was performed, threading it previously to the posterior and lateral parts of the anastomosis and on the anterior wall--to the rectal stump only; when the anastomosis was performed, the catgut was passed through the upper pelvic diaphragmatic fascia as well. The method was applied on 19 patients; the first six of them had prophylactic transversostomy performed. In none of the patients was insufficiency of the anastomosis or recurrence of the tumor observed.
Dimitrov
V
V
Dudunkov
Z
Z
Ralchev
K
K
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002277:Carcinoma / Q000601:surgery*; D003106:Colon / Q000601:surgery; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013536:Suture Techniques
Rezultati ot prilozhenieto na prinuditelno niski predni rezektsii po povod kartsinom v dolnata polovina na srednata treta na rektuma.