E.A. Suleymanov, E.V. Kalinin
Republican Oncologic Dispensary, Grozny
Kalinin E.V. ― Cand. Med. Sc., Associate Professor, Head of the Surgical Department at Grozny Republican Onclogic Dispensary
3 Okruzhnoy-15 Grozny, Russian Federation, 364029, tel. +7-989-922-74-92, e-mail: kalinin.egn@mail.ru
Abstract
Introduction. The application of stapler anastomosis almost always avoids the formation of a constant colostomy. But, in some cases: with a short mesentery of the colon and a «loose» version of vascular architectonics, previously performed surgical interventions on the colon, the multiple intestinal lesions, it is not always possible to restore the continuity of the digestive tube. The main cause of colostomy in such cases is the insufficient length of the graft.
Methods. We used the ileal segment as a graft, or «insertion» to peform an ileo-anal, or ileo-rectal anastomosis (ileocoloplasty). For the first time we used this technique in 2003. In total, seven such operations were performed.
Results. There were no lethality. Complications were diagnosed in 2 patients (28.6%) and were eliminated by conservative measures. The results of the studies (colonoscopy, irrigoscopy, barium suspension research, study of the quality of life of patients) indicate the expediency of such intervention.
Conclusion. The functional results of the use of the small intestine interposition (ileocoloplasty) to restore the continuity of the digestive tract indicate the appropriateness of such intervention.
Key words: rectal cancer, intestine interposition, ileocoloplasty.