Experience in the use of Y-shaped anastomosis during surgical treatment of acute colonic ileus of tumoral genesis
Malakhov, I.P.; Briusov, P.G.
Voenno-Meditsinskii Zhurnal 324(12): 39-43; 96
2003
ISSN/ISBN: 0026-9050 PMID: 14982003 Document Number: 560145
Among the total number of patients suffered from colonic cancer the incidence of acute ileus constitutes 32%. In 1978-1997 we studied 198 patients with such pathology. In 1993-1997 the Y-form anastomosis was applied in 33 patients (37.9% of the cases); anastomosis incompetence was not observed. 1 month after operation the anastomosis provided the natural passage over intestine and in 2-3 months allowed performance of early and safe extraperitoneal closure of unloading stoma. The use of Y-form anastomosis in colonic surgery against the background of acute ileus (of tumoral genesis) permits to decrease the postoperative lethality and to conduct rapid social-and-labor rehabilitation of the patients with the help of early safe extraperitoneal reconstruction operations.