ЛЕЧЕНИЕ НЕСОСТОЯТЕЛЬНОСТИ ШВОВ КОЛОРЕКТАЛЬНОГО АНАСТОМОЗА: ВОЗМОЖНО ЛИ СОХРАНИТЬ АНАСТОМОЗ?
https://doi.org/10.21294/1814-4861-2018-17-1-92-98
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Аннотация
При низких и ультранизких резекциях прямой кишки одним из частых и грозных осложнений является несостоятельность колоректального анастомоза (НКРА). Попытки разрешения данного осложнения в конечном итоге приводят к формированию кишечной стомы. Важной задачей является сохранение колоректального анастомоза, так как в случае его разъединения более чем у 50 % больных кишечная стома будет носить постоянный характер. В представленном обзоре литературы рассматриваются различные варианты лечения НКРА, способствующие разрешению данного осложнения без разъединения анастомоза, а также способы борьбы с пресакральными пазухами, образующимися после тотальной мезоректумэктомии, и методиками их дренирования, эффективность эндоскопических способов укрепления анастомоза. Методы, не приводящие к разъединению анастомоза, являются более предпочтительными с позиции улучшения качества жизни пациентов и дальнейшего прогноза.
Об авторах
Ф. Ш. АхметзяновРоссия
Ахметзянов Фоат Шайхутдинович - доктор медицинских наук, профессор, заведующий кафедрой онкологии, лучевой диагностики и лучевой терапии, SPIN-код: 8908-4761.
420012, Казань, ул. Бутлерова, 49; 420029, Казань, Сибирский тракт, 29
В. И. Егоров
Россия
Егоров Василий Иванович - кандидат медицинских наук, ассистент кафедры онкологии, лучевой диагностики и лучевой терапии, SPIN-код: 7794-4210.
420012, Казань, ул. Бутлерова, 49; 420029, Казань, Сибирский тракт, 29
А. И. Валеев
Россия
Валеев Алмаз Ильдарович - студент 6-го курса лечебного факультета, SPIN-код: 8150-7841.
420012, Казань, ул. Бутлерова, 49
В. А. Бухалова
Россия
Бухалова Вероника Андреевна - студентка 6-го курса лечебного факультета, SPIN-код: 7584-7631.
420012, Казань, ул. Бутлерова, 49
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Рецензия
Для цитирования:
Ахметзянов Ф.Ш., Егоров В.И., Валеев А.И., Бухалова В.А. ЛЕЧЕНИЕ НЕСОСТОЯТЕЛЬНОСТИ ШВОВ КОЛОРЕКТАЛЬНОГО АНАСТОМОЗА: ВОЗМОЖНО ЛИ СОХРАНИТЬ АНАСТОМОЗ? Сибирский онкологический журнал. 2018;17(1):92-98. https://doi.org/10.21294/1814-4861-2018-17-1-92-98
For citation:
Akhmetzyanov F.Sh., Egorov V.I., Valeev A.I., Bukhalova V.A. MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS? Siberian journal of oncology. 2018;17(1):92-98. (In Russ.) https://doi.org/10.21294/1814-4861-2018-17-1-92-98
ISSN 2312-3168 (Online)