title: [Ways to improve the results of the staple suture use for the rectal anastomosis].
abstract: Treatment results of 311 patients with rectal cancer T1-4N0-2M0-1, who received the anterior rectal resection with mechanic circular colorectal anastomosis, were analyzed. The minimal frequency of the anastomotic insufficiency was registered among the "end-to-side" anastomosis (3.75%). Mechanical suturing of the rectal stump did not increase the risk of insufficiency. The use of the preventive colostoma allows the formation of the primary anastomosis even in conditions of partial intestinal obstruction. The laparoscopic anterior rectal resections did not influence the insufficiency rate, being preferable considering the postoperative rehabilitation terms.
authors.forename: O I
authors.initials: OI
authors.lastname: Kit
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Gevorkian
authors.forename: N V
authors.initials: NV
authors.lastname: Soldatkina
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D057868:Anastomotic Leak / Q000517:prevention & control; D003106:Colon / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques / Q000295:instrumentation / Q000639:trends*; D013537:Sutures; D016896:Treatment Outcome