[Anterior rectal resection--early postoperative results].
BACKGROUND
The development of the mechanic staplers gave the opportunity to perform sphincter-saving operations in patients with middle and low rectal carcinoma. It has been gained experience in performing this operation as the anastomosis was sewed in both ways--manually and mechanically.


OBJECTIVE
The purpose of this retrospective research is to analyse the early postoperative results after anterior rectal resection with manually and mechanically made anastomosis.


METHODS
For the period 01.01.1995-01.012000 in the DEPARTMENT OF GENERAL, LIVER AND PANCREATIC SURGERY, 69 patients with rectal carcinoma underwent the operation anterior rectal resection. In 60 cases (89.96%) the anastomosis was made manually and in 9 cases (13.04)--with mechanical staplers. Both patient groups are studied and classified by sex, age, tumor localisation, type of anastomosis, early postoperative results.


RESULTS
From the group with manually sewn anastomosis 6/10%/ of the patients had complications in the early postoperative period, one of them terminated (1.7%). From the second group 3 (33.3%) of the patients had complications in the early postoperative period. The average postoperative hospitalisation was 13.5 vs. 19.2 days.


CONCLUSIONS
The results achieved in anterior rectal resection depend on a complex of factors among which more important is the early diagnosis of the disease and the skills of the surgeon in coloproctology.
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D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome