Surgeons’s tactics in rectal cancer
Aim. To develop algorithm in rectal cancer surgery, which will improve direct, long-term, and functional results of treatment. Materials and methods. We analyzed operations on rectum that had been performed in 2012-2013 in the department of surgery of SUSMU’s clinic. Total number of patients is 26. Males: 7, females: 19. All patients were divided into groups according to localization of the tumor against anus. All patients underwent rectal resection either by apparatus or manual methods with and without intersection of the middle rectal artery, with and without applying of transversostomy. Results. The results of the research showed that high frequency of complications are mainly connected with tumor localization, lack of intersection of the middle rectal artery, and absence of unloading transversostomy. We believe that applying temporal unloading transversostomy and making intersection of the middle rectal artery during operation will help to avoid high risks of complications in case when tumor is 10 cm lower against anus. No matter what metod of imposing anastomosis was chosen: apparatus or manual. Conclusion. To get better results in rectal cancer surgery patients with intraoperative resection of the middle rectal artery are indicated applying of unloading transversostomy.