ASPIRATING DRAINAGE OF THE CAVITY OF THE LESSER PELVIS AS A WAY OF CONSERVATIVE TREATMENT OF LOW-LYING COLORECTAL ANASTOMOTIC LEAK

Тазовая хирургия и онкология

F. Sh. Akhmetzyanov¹  F. F. Akhmetzyanova²  V. I. Egorov²  N. A. Valiev³  Z. N. Shemeunova³  N. T. Shayhutdinov³ 

[1] Kazan State Medical University, Ministry of Health of RussiaPrivolzhsky Branch of N.N. Blokhin Russian Cancer Research Center;Kazan State Medical University, Ministry of Health of Russia;Republican Clinical Oncology Center, Ministry of Health of the Republic of Tatarstan;

关键词: rectal cancer;    colorectal anastomosis;    leak;    purulent-septic complications;    aspirating drainage;    “pipe in pipe” drainage;   

DOI  :  10.17650/2220-3478-2015-1-43-48

来源: DOAJ

【 摘 要 】

Aim. Examination of efficacy of the double-lumen “pipe in pipe” drainage set mounted in the cavity of the lesser pelvis by the method developed by the authors for conservative treatment of colorectal anastomotic leak.Material and methods. Data have been analyzed for 124 patients operated in two surgeries of the base No.2 of the Republican Clinical Onco- logic Dispensary of the Ministry of Health of the Republic of Tatarstan, whose surgery was completed with formation of colorectal anastomo- sis; aspirating drainage of the cavity of the lesser pelvis was performed with double-lumen drainage of the authors’ design, mounted in the retroperitoneal part of the cavity of the lesser pelvis through a puncture in the anterior abdominal wall. No patient was applied a preventive intestinal stoma.Results. 4 (3.2 %) out of 124 patients died after surgeries. 21 (16.9 %) patients experienced colorectal anastomotic leak, which was resolved in a conservative manner in all patients.Conclusion. Our data allow us to speak about the efficacy of this technique of drainage of the cavity of the lesser pelvis in colorectal anastomotic leak.

【 授权许可】

Unknown