title: [Formation of a colonic reservoir while performing a low anterior resection of the rectum].
abstract: The aim of the investigation was to determine the most functionally grounded level of the formation of colonic reservoir from the margin of the anal canal while performing a low anterior resection of the rectum. Sphincter-preserving operations were performed in 113 patient with the formation of colonic reservoir and direct stepler colorectal anastomosis. Questionnaires and apparatus "Colodynamic-3" were used to follow-up 28 patients with the reservoir (main group) and 19 patients with a direct anastomosis on whom the operations had been made more than a year ago. The rate of the development of complications was almost the same in the both groups--28.5% and 26% correspondingly. The reservoir-accumulating function became less in the group of "direct" anastomoses. The best parameters of the reservoir-accumulating and evacuatory ability of the colonic reservoir were found to be in patients with the level of anastomoses 4-6 cm from the anal canal margin. Creation of the reservoir was more difficult in patients with the carneus mesentery and a small width of the sigmoid colon.
authors.forename: N A
authors.initials: NA
authors.lastname: Iaitskiĭ
authors.forename: S V
authors.initials: SV
authors.lastname: Vasil'ev
authors.forename: I A
authors.initials: IA
authors.lastname: Nechaĭ
authors.forename: Z D
authors.initials: ZD
authors.lastname: Chaniia
authors.forename: D E
authors.initials: DE
authors.lastname: Popov
authors.forename: A S
authors.initials: AS
authors.lastname: Vasil'ev
authors.forename: I M
authors.initials: IM
authors.lastname: Ruseĭkin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative; D012007:Rectum / Q000601:surgery*; D011795:Surveys and Questionnaires
vernacular_title: Formirovanie tolstokishechnogo rezervuara pri vypolnenii nizkoĭ peredneĭ kishki.