Goncharov A L, Malygina N V, Razbirin D V
Khirurgiia (Mosk). 2013(12):48-51.
90 right hemicolectomies (RH) were performed in 2011-2012 yy using the stapled (circular and linear) ileocolic end-to-side anastomosis. This group was compared with 100 RH (2002-2005 yy), performed using linear stapled biangular end-to-end anastomosis. All patients had verified colon cancer. Thу mean operative time in the main group was 100±37 min (p>0.05). The time of the anastomosis formation was 7±1.2 min (p>0.05). There were no anastomosis dehiscence and postoperative mortality registered. Re-operation rate was 1.1%. The comparison of two methods revealed, that the end-to-side anastomosis obtained lower risk of postoperative complications (12 vs 26%; p=0.016), anastomosistis (1 vs 8%; p=0.02) and anastomotic dehiscence (0 vs 3%; p>0.05). Therefore, the ileocolic end-to-side anastomosis with circular and linear staplers proved to be a safe method of colon cancer treatment and guarantee the minimal risk of insufficiency and lethality.
2011 - 2012年期间,采用吻合器(圆形和线性)行回结肠端侧吻合术进行了90例右半结肠切除术(RH)。该组与2002 - 2005年期间采用线性吻合器双角端端吻合术进行的100例右半结肠切除术进行比较。所有患者均经证实患有结肠癌。主要组的平均手术时间为100±37分钟(p>0.05)。吻合口形成时间为7±1.2分钟(p>0.05)。未记录到吻合口裂开和术后死亡情况。再次手术率为1.1%。两种方法的比较显示,端侧吻合术后并发症风险较低(12%对26%;p = 0.016),吻合口炎(1%对8%;p = 0.02)和吻合口裂开(0对3%;p>0.05)。因此,使用圆形和线性吻合器的回结肠端侧吻合术被证明是一种安全的结肠癌治疗方法,并保证了最低的肠功能不全和致死风险。