[Experience in the use of Y-shaped anastomosis during surgical treatment of acute colonic ileus of tumoral genesis].
Among the total number of patients suffered from colonic cancer the incidence of acute ileus constitutes 32%. In 1978-1997 we studied 198 patients with such pathology. In 1993-1997 the Y-form anastomosis was applied in 33 patients (37.9% of the cases); anastomosis incompetence was not observed. 1 month after operation the anastomosis provided the natural passage over intestine and in 2-3 months allowed performance of early and safe extraperitoneal closure of unloading stoma. The use of Y-form anastomosis in colonic surgery against the background of acute ileus (of tumoral genesis) permits to decrease the postoperative lethality and to conduct rapid social-and-labor rehabilitation of the patients with the help of early safe extraperitoneal reconstruction operations.
Malakhov
Iu P
IuP
Briusov
P G
PG
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D003082:Colectomy; D003106:Colon / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003125:Colostomy; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D013536:Suture Techniques; D016896:Treatment Outcome