title: [Approaches for formation of the large bowel anastomoses for prophylaxis of their sutures insufficiency].
abstract: The results of surgical treatment of 424 patients, in whom the postponed and elective surgery was done for the large bowel malignancies, were analyzed. Advantages of a one-layer suture while formation of a large-bowel anastomoses in comparison with a two-layer suture were noted: minimal rate of the sutures insufficiency--(4.9 +/- 0.8)%, and (7.9 +/- 1.7)%, accordingly (p<0.001). Mostly often insufficience of the colorectal anastomosis sutures was observed after anterior rectal resection--in (9.7 +/- 1.9)% and (7.2 +/- 1.5)% patients. Postoperative lethality was 2.6%, for majority of the patients the reasons of the death were pulmonary thromboembolism and an acute cardio-vascu- lar insufficiency.
authors: N N
authors: NN
authors: Militsa
authors: N D
authors: ND
authors: Postolenko
authors: K N
authors: KN
authors: Militsa
authors: I N
authors: IN
authors: Angelovskiĭ
authors: V V
authors: VV
authors: Soldusova
authors: V S
authors: VS
authors: Kazakov
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods*; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000401:mortality / Q000473:pathology / Q000517:prevention & control; D006801:Humans; D007420:Intestine, Large / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative / Q000379:methods*; D011655:Pulmonary Embolism / Q000209:etiology / Q000401:mortality / Q000473:pathology / Q000517:prevention & control; D016019:Survival Analysis; D013536:Suture Techniques / Q000009:adverse effects*; D013537:Sutures