The Stapled Anastomoses in Rectal Cancer Surgery – Modern Alternative for Bowel Reconstruction
Colorectal cancer represents one of the most frequently tumor pathologies, despite the efforts for early diagnosis and the therapeutic progress made in the last few years. In case of rectal cancer, the need for oncologic resection is combined with the goal of sphincter preservation with coloanal continuity reestablished. That is where the stapled anastomosis allowed the decrease of the resection level, with shortened operative duration and rapid healing. In Colentina Surgical Clinic were operated 372 cases with this pathology in the last 10 years (2002-2011). In 169 cases were undergone surgical procedures with reestablishing of the intestinal continuity, 58 cases of whom being represented by anterior resection with stapled anastomosis. Hartmann resection was done in 48 cases, 35 cases of these benefited of subsequent intervention for continuity reestablishment (23 cases of stapled anastomosis). Anastomotic leakage was noted in 41 cases, from which 24 cases benefited of conservative approach.
Volume (Year): 60 (2012)
Issue (Month): 2 (May)
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