Evaluation of effectiveness and safety of manual anastomosis use of its own modernization in the rectum anterior resection

Abstract

Aim. The choice of optimal method of colorectal anastomosis formation remains a matter of debate. The purpose of this study is to assess safety of an original method of forming a manual colorectal anastomosis.Materials and methods. The retrospective study included patients having rectal cancer with tumor localization above 5 cm from the anocutaneous line, who underwent anterior resection of the rectum with formation of a manual “side-to-end” anastomosis of own modification. The main parameter evaluated was frequency of anastomotic failure and the additional one was overall incidence of postoperative complications.Results. The study included 31 patients, among them were 15 (48.4 %) men, 18 (58.1 %) of them were older than 50 years, 9 (29 %) were smokers, 17 (54.8 %) had a body mass index greater than 25 kg/m2 . Anastomosis failure developed n 2 (6.5 %) patients and only 1 (3.2 %) patient required a second surgery.Conclusion. Preliminary analysis data indicate safety of the proposed method of colorectal anastomosis formation. It is necessary to conduct comparative studies to evaluate possibility of wider implementation of this technique in clinical practice.