title: [Multivariate analysis of risk factors of the anal functional disorders after abdominal-anal resection with delayed formation of colonic-anal anastomosis].
abstract: Multivariate analysis of clinical factors was conducted on the material histories of 195 patients treated between 2004 and 2006. In Donetsk regional antitumor center, which for rectal cancer (RC) is made abdomino-anal resection of the rectum with the delayed formation koloanal anastomosis after bringing down the colon to the perineum. In 97 patients the operation was performed with the use of electric welding soft tissue (EWST), in 98--a standard way. Studied the quality of life of patients using a questionnaire QLQ C30-CR38 and the function of the anal incontinence (Wexner scale). It is established, that the greatest influence on the function of the anal continence have a view of a combined and complex treatment, radicality intervention, the method of forming koloanal of anastomosis. Application EWST the second stage of surgery to cut off excess relegated intestine helped reduce the risk of poor function of the anal continence.
authors.forename: A V
authors.initials: AV
authors.lastname: Borota
authors.forename: E Iu
authors.initials: EIu
authors.lastname: Miroshnichenko
authors.forename: O V
authors.initials: OV
authors.lastname: Sovpel'
mesh_terms: D000005:Abdomen / Q000601:surgery*; D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D044683:Colon, Descending / Q000503:physiopathology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000503:physiopathology / Q000601:surgery*; D004598:Electrosurgery / Q000379:methods; D005242:Fecal Incontinence / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D006801:Humans; D015233:Models, Statistical; D015999:Multivariate Analysis; D016737:Proctocolectomy, Restorative / Q000379:methods*; D011788:Quality of Life; D020127:Recovery of Function; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome