Vol. 66 No. 1 (2020), ORIGINAL RESEARCH

Vol. 66 No. 1 (2020)

LATE ANASTOMOTIC LEAKAGE AFTER ANTERIOR RESECTION OF THE RECTUM

ORIGINAL RESEARCH

https://doi.org/10.37469/0507-3758-2020-66-1-64-70

Published 01.01.2020

Oleg Kit⁺⁻
Yuriy Gevorkyan⁺⁻
Natalya Soldatkina⁺⁻
Dmitriy Kharagezov⁺⁻
Andrey Dashkov⁺⁻
Anton Milakin⁺⁻
Sergey Ilchenko⁺⁻
Dmitriy Kaymakchi⁺⁻

Oleg Kit

Rostov Research Institute of Oncology

Yuriy Gevorkyan

Rostov Research Institute of Oncology

Natalya Soldatkina

Rostov Research Institute of Oncology

Dmitriy Kharagezov

Rostov Research Institute of Oncology

Andrey Dashkov

Rostov Research Institute of Oncology

Anton Milakin

Rostov Research Institute of Oncology

Sergey Ilchenko

Rostov Research Institute of Oncology

Dmitriy Kaymakchi

Rostov Research Institute of Oncology

##article.numberofdownloads## 234

##article.numberofviews## 345

PDF (Русский)

Keywords

RECTAL CANCER
LOW ANTERIOR RESECTION OF THE RECTUM
LATE ANASTOMOTIC LEAKAGE

How to Cite

Kit, O., Gevorkyan, Y., Soldatkina, N., Kharagezov, D., Dashkov, A., Milakin, A., Ilchenko, S., & Kaymakchi, D. (2020). LATE ANASTOMOTIC LEAKAGE AFTER ANTERIOR RESECTION OF THE RECTUM. Voprosy Onkologii, 66(1), 64–70. https://doi.org/10.37469/0507-3758-2020-66-1-64-70

Abstract

We analyzed literature data and our results of treatment of 37 patients with cancer of the middle and lower rectal ampulla (Т2-4аN0-2М0) who underwent low anterior resection of the rectum with colorectal anastomosis. The purpose of the study was to reveal characteristics of late colorectal anastomotic leakage. The results demonstrated differences in the clinical course of early and late colorectal anastomotic leakage, the site of anastomotic defect, anastomosis characteristics and the need for repeat surgery. There were some pathogenetic aspects distinguishing early and late anastomotic leakage, such as technical problems in early leakage and association with preoperative radiotherapy in late anastomotic leakage. Conclusions: timely diagnostics of microleakage of colorectal anastomosis will allow changing the further tactics of the patient management and avoiding the manifestation of late anastomotic leakage.

https://doi.org/10.37469/0507-3758-2020-66-1-64-70

##article.numberofdownloads## 234

##article.numberofviews## 345

PDF (Русский)

References

Кит О.И., Геворкян Ю.А., Солдаткина Н.В. Пути улучшения результатов применения аппаратного анастомоза в хирургии рака прямой кишки // Хирургия. Журнал им. Н.И. Пирогова. - 2013. - Т 12. - С. 37-42.

Кит О.И., Геворкян Ю.А., Солдаткина Н.В. и др. Аппаратный межкишечный анастомоз при колоректальном раке: непосредственные результаты // Колопроктология. - 2016. - № 1 (55). - С. 48-53.

Snijders H.S., Wouters M.W., van Leersum N.J. et al. Meta-analysis of the risk for anastomotic leakage, the postoperative mortality caused by leakage in relation to the overall postoperative mortality // Eur. J. Surg. Oncol. - 2012. - Vol. 38. - P. 1013-1019.

Rahbari N.N., Weitz J., Hohenberger W. et al. Definition and grading of anastomotic leakage ollowing anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer // Surgery. - 2010. - Vol. 147. - P. 339-351.

Kanellos I., Vasiliadis K., Angelopoulos S. et al. Anastomotic leakage following anterior resection for rectal cancer // Tech. Coloproctol. - 2004. - Vol. 8(suppl 1). - s79-81.

Hyman N., Manchester TL., Osler T., Burns B., Cataldo P.A. Anastomotic leaks after intestinal anastomosis: it's later than you think // Ann. Surg. - 2007. - Vol. 245. - P. 254-258.

Matthiessen P., Lindgren R., Hallbook O., Rutegard J., Sjodahl R. Rectal Cancer Trial on Defunctioning Stoma Study Group. Symptomatic anastomotic leakage diagnosed after hospital discharge following low anterior resection for rectal cancer // Colorectal. Dis. - 2010. - Vol. 12. - e82-7.

Floodeen H., Hallbook O., Rutegard J. et al. Early and late symptomatic anastomotic leakage following low anterior resection of the rectum for cancer: are they different entities? // Colorectal. Dis. - 2013. - Vol. 15. - P. 334-340.

Кит О.И., Геворкян Ю.А., Солдаткина Н.В., Колесников В.Е. Лапароскопические вмешательства в хирургии колоректального рака // Колопроктология. - 2014. - №3 (49). - С. 65.

Кит О.И., Геворкян Ю.А., Солдаткина Н.В. и др. Лапароскопический доступ в хирургии колоректального рака // Академический журнал Западной Сибири. - 2015. - Т.11. - №5(60). - С. 76.

Morks A.N., Ploeg R.J., Sijbrand Hofker H., Wiggers T., Havenga K. Late anastomotic leakage in colorectal surgery: a significant problem // Colorectal. Dis. - 2013. - Vol. 15. - e271-e275.

Shin U.S., Kim C.W., Yu C.S., Kim J.C. Delayed anastomotic leakage following sphincter-preserving surgery for rectal cancer // Int. J. Colorectal. Dis. - 2010. - Vol. 25. - P. 843-849.

Karliczek A., Benaron D.A., Baas P.C. et al. Intraoperative assessment of microperfusion with visible light spectroscopy for prediction of anastomotic leakage in colorectal anastomoses // Colorectal. Dis. - 2010. - Vol. 12. - P. 1018-1025.

Кит О.И., Геворкян Ю.А., Солдаткина Н.В. и др. Молекулярно-морфологические эффекты предоперационной лучевой терапии крупным фракционированием дозы при раке прямой кишки // Молекулярная медицина. - 2017. - Т. 15. - № 2. - С. 39-43.

Thornton F.J., Barbul A. Healing in the gastrointestinal tract // Surg. Clin. North. Am. - 1997. - Vol. 77. - P. 549-573.

Lim S.-B., Yu C. S., Kim C. W. et al. Late anastomotic leakage after low anterior resection in rectal cancer patients: clinical characteristics and predisposing factors // Colorectal Disease. - 2016. - Vol. 18. - P. 135-140.

Floodeen H., Hallbookt O., Rutegard J., Sjodahl R., Matthiessen P. Early and late symptomatic anastomotic leakage following low anterior resection of the rectum for cancer: are they different entities? // Colorectal. Dis. - 2012. - P. 334-340.

Pasternak B., Matthiessen P., Jansson K. et al. Elevated intraperitoneal matrix metalloproteinases-8 and -9 in patients who develop anastomotic leakage after rectal cancer surgery: a pilot study // Colorectal. Dis. - 2010. - Vol. 12. - P. e93-98.

Maeda H., Okamoto K., Namikawa T. et al. Rarity of late anastomotic leakage after low anterior resection of the rectum // Int. J. Colorectal. Dis. - 2015. - Vol. 30. - P. 831-834.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Most read articles by the same author(s)

Dmitrii Kharagezov , Yrii Lazutin, Ellada Mirzoyan , Anton Milakin, Oleg Stateshny , Igor Leyman, Neoadjuvant and adjuvant immunotherapy for non-small cell lung cancer (literature review) , Voprosy onkologii : Vol. 68 No. 2 (2022)
Oleg Kit, Yuriy Gevorkyan, Natalya Soldatkina, Marina Gusareva, Dmitriy Kharagezov, Anton Milakin, Sergey Ilchenko, COMPLETE CLINICAL RESPONSE OF RECTAL CANCER TO CHEMORADIOTHERAPY: TACTICS , Voprosy onkologii : Vol. 63 No. 6 (2017)
Oleg Kit, Yuriy Gevorkyan, Natalya Soldatkina, Yevgeniy Kolesnikov, Mikhail Averkin, Marina Gusareva, Dmitriy Kharagezov, Andrey Dashkov, Ellada Mirzoyan, HIGH-RESOLUTION ANORECTAL MANOMETRY IN TESTING ANORECTAL FUNCTION AFTER COMBINATION TREATMENT FOR RECTAL CANCER , Voprosy onkologii : Vol. 66 No. 4 (2020)
Sofia Timofeeva , Svetlana Filippova , Anastasia Sitkovskaya, Larisa Vashchenko, Tatyana Ausheva, Stella Babieva , Svetlana Bakulina , Andrey Maslov , Yuliana Shatova , Inna Novikova , Oleg Kit , 3D bioprinting of a breast tumor model , Voprosy onkologii : Vol. 69 No. 1 (2023)
Oleg Kit, D. Kharagezov , A. Milakin, E. Mirzoyan, Yu. Lazutin , E. Sugak, I. Sukhar , Primary liposarcoma of the anterior mediastinum in a patient who underwent viral pneumonia , Voprosy onkologii : Vol. 68 No. 5 (2022)
Oleg Kit, Irina Derizhanova, Nikolay Karnaukhov, Inna Novikova, Vladimir Trifanov, Gennadiy Kaminsky, Features of expression of somatostatin receptors in gastric carcinomas depending on the proportion of the neuroendocrine component , Voprosy onkologii : Vol. 67 No. 5 (2021)
Oleg Kit, Elena Frantsiyants, Irina Kaplieva, Valeria Bandovkina , Yuriy Gevorkyan, Natalia Soldatkina, Elena Dzhenkova, Natalia Cheryarina, Irina Goroshinskaya, Nikolay Samoilenko, Aleksandr Shaposhnikov, Yuriy Sidorenko , Levels of steroid hormones, their receptors, prolactin and SSBG in tissues of patients with gastric cancer , Voprosy onkologii : Vol. 68 No. 1 (2022)
A. Sagakyants, Oleg Kit, Ye. Zlatnik, Ye. Zolotarev, O. Shulgina, I. Novikova, N. Samoylenko, N. Soldatkina, Yuriy Gevorkyan, Yu. Sidorenko, CYTOKINE TISSUE PROFILE IN NON-METASTATIC GASTRIC CANCER , Voprosy onkologii : Vol. 66 No. 5 (2020)
Oleg Kit, Yuriy Gevorkyan, Marina Gusareva, Lyudmila Rozenko, Natalya Soldatkina, Dmitriy Kharagezov, G. Beletskiy, ADVANTAGES OF SHORT-TERM AND PROLONGED COURSES OF PREOPERATIVE RADIATION THERAPY FOR RECTAL CANCER , Voprosy onkologii : Vol. 64 No. 1 (2018)
Oleg Kit, Yelena Frantsiyants, Irina Kaplieva, Yekaterina Surikova, Irina Neskubina, Valeriya Bandovkina, Lidiya Trepitaki, Natalya Cheryarina, Lyudmila Nemashkalova, Yuriy Sidorenko, THE DYNAMIC OF ANGIOGENESIS FACTORS IN C57BL/6-PLAUTMI.IBUG-THIS PLAU6FDHU/GFDHU MICE AT CHRONIC NEUROGENIC PAIN AND GROWTH OF THE MELANOMA , Voprosy onkologii : Vol. 66 No. 4 (2020)

1 2 3 > >>