ON APPLICATION OF MECHANICAL COLORECTAL ANASTOMOSIS AFTER ANTERIOR RESECTION AND LOW ANTERIOR RECTAL RESECTION
AIM. to evaluate results of anterior (AR) and low anterior resection (LAR) for rectal carcinoma with stapler anastomosis. MATERIALS AND METHODS. 114 patients aged from 33 to 84 years were included into study. Of them 60 patients had low anterior rectal resection. RESULTS. Anastomotic leakage developed in 7 (6,1 %) cases (5 (8,3 %) 5 after LAR and 2 (3,7 %) after AR) between POD 3 and 7 days (р<0,05). CONCLUSION. Mechanical preparation of the colon, precise techniques of mobilization of the rectum and mesorectum, prevention of tension on suture line, compliance with the application techniques of mechanical anastomosis, control of its integrity, considering of risk factors allow to produce a secure suture and are important in prevention of anastomosis leakage.