grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-4625Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2022-181-6-98-104grekov-2095Research ArticleОБЗОРЫREVIEWSСтратификация рисков несостоятельности анастомозов после резекционных и реконструктивно-восстановительных операций на толстой кишкеRisk stratification of anastomotic leakages after colonic resection and reconstructive procedureshttps://orcid.org/0000-0002-0815-7032ВагановА. А.VaganovA. A.

Ваганов Алексей Александрович, кандидат медицинских наук, ассистент кафедры хирургии общей с клиникой

Санкт-Петербург

Vaganov Aleksey A., Cand. of Sci. (Med.), Assistant of the Department of General Surgery with Clinic

Saint Petersburg

wellex07@gmail.comhttps://orcid.org/0000-0001-7449-6908КорольковА. Ю.Korol’kovA. Yu.

Корольков Андрей Юрьевич, доктор медицинских наук, профессор кафедры хирургии общей с клиникой, руководитель отдела неотложной хирургии НИИ хирургии и неотложной медицины

Санкт-Петербург

Korol’kov Andrey Yu., Dr. of Sci. (Med.), Professor of the Department of General Surgery with Clinic, Head of the Department of the Research Institute of Surgery and Emergency Medicine

Saint Petersburg

https://orcid.org/0000-0001-7824-7036БогдановП. И.BogdanovP. I.

Богданов Петр Иванович, кандидат медицинских наук, доцент кафедры хирургии общей с клиникой, заведующий хирургическим отделением № 3 НИИ хирургии и неотложной медицины

Санкт-Петербург

Bogdanov Petr I., Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with Clinic, Head of the Surgical Department № 3 of the Research Institute of Surgery and Emergency Medicine

Saint Petersburg

https://orcid.org/0000-0002-9671-0394ОсмановЗ. Х.OsmanovZ. Kh.

Османов Зейнур Худдусович, кандидат медицинских наук, доцент кафедры хирургии общей с клиникой

Санкт-Петербург

Osmanov Zeinur Kh., Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with Clinic

Saint Petersburg

https://orcid.org/0000-0001-7395-7020МорозовВ. П.MorozovV. P.

Морозов Виктор Петрович, доктор медицинских наук, профессор, зав. кафедрой хирургии общей с клиникой

Санкт-Петербург

Morozov Victor P., Dr. of Sci. (Med.), Professor, Head of the Department of General Surgery with Clinic

Saint Petersburg

https://orcid.org/0000-0001-6269-6283БабичА. В.BabichA. V.

Бабич Андрей Валентинович, клинический ординатор кафедры хирургии общей с клиникой

Санкт-Петербург

Babich Andrey V., Postgraduate Student of the Department of General Surgery with Clinic

Saint Petersburg

Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov UniversityRussian Federation202203022023181698104Copyright © Ваганов А.А., Корольков А.Ю., Богданов П.И., Османов З.Х., Морозов В.П., Бабич А.В., 20232023Ваганов А.А., Корольков А.Ю., Богданов П.И., Османов З.Х., Морозов В.П., Бабич А.В.Vaganov A.A., Korol’kov A.Y., Bogdanov P.I., Osmanov Z.K., Morozov V.P., Babich A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2095

ЦЕЛЬ. Проанализировать доступные за последние 5 лет исследования с последующей систематизацией основных групп факторов, приводящих к несостоятельности толстокишечных анастомозов после резекционных и реконструктивно-восстановительных операций.

Анализ литературы проведен в медицинских базах PubMed, Medline, Cochrane Library, Web of Science. Учитывая представленную большую выборку пациентов и количество оцениваемых факторов со статически значимой достоверностью, в литературный обзор вошли 22 рандомизированных исследования и метаанализа. Проанализированы и представлены контролируемые и неконтролируемые факторы, приводящие к несостоятельности толстокишечных анастомозов после реконструктивно-восстановительных и резекционных операций на разных этапах лечения данной категории пациентов. Частота развития несостоятельности межкишечных анастомозов, по данным изученной литературы, довольно высока. Оценка доказанных факторов и их нивелирование в дооперационном периоде позволит в большинстве случаев снизить риски и, как следствие, частоту несостоятельностей кишечных анастомозов, что значительно улучшит результаты лечения колопроктологических пациентов.

The OBJECTIVE to analyze the available researches over the past 5 years and systematized the main groups of factors, which leading to the leakages of colonic anastomoses after resection and reconstructive procedures. Literature analysis was carried in the medical databases PubMed, Medline, Cochrane Library, Web of Science. 22 randomized trials and meta-analyses were included in the literature review. All researches investigated large sample of patients presented and the number of factors evaluated with statistically significant reliability. We analyzed and presented the controlled and uncontrolled factors, which were leading to leakages of colonic anastomoses after reconstructive and resection procedures at different stages of treatment of this category of patients. The frequency of the development of the leakages of interstitial anastomoses according to the studied literature is high. Evaluation of proven factors in the preoperative period will in most cases reduce the risks and, as a consequence, the frequency of leakages of colonic anastomoses. This will be significantly improved to the results of treatment of coloproctological patients. 

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The authors declare that there are no conflicts of interest present.