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 Russia10.24884/0042-4625-2016-175-5-69-73grekov-346Research ArticleОПЫТ РАБОТЫEXPERIENCE OF WORKАНАЛИЗ ОСЛОЖНЕНИЙ ПРИ ЛИКВИДАЦИИ КОЛОСТОМЫ ПОСЛЕ ОПЕРАЦИИ ГАРТМАНАANALYSIS OF COMPLICATIONS IN ELIMINATION OF THE COLOSTOMY AFTER HARTMANN SURGERYПомазкинВ. И.PomazkinV. I.yunker@yandex.ruСвердловский областной клинический психоневрологический госпиталь для ветеранов войнРоссияSverdlovsk regional clinical hospital for war veteransRussian Federation20162810201617556973Copyright © Помазкин В.И., 20162016Помазкин В.И.Pomazkin V.I.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/346

An analysis of early postoperative complications was made in reconstructive surgery on the colon in case of the end colostomy in patients with left-half colon cancer complicated by intestinal obstruction. This work investigated the prognostic factors, which could influence on incidence of complications. The research included results of reconstructive operations in 192 patients. The early postoperative complications were noted in 18 (9,4%) patients. The univariant analysis of risk factors showed, that the presence COPD increased the possibility of complication incidence in 1,7 times (p=0,044). The incidence of purulent complications on previous stage of treatment increased complications in 4,3 times (p=0,011) and the third degree of adhesions process intensity compared with the first degree - in 9,7 times (p=0,001). The multivariant analysis demonstrated a correlation of the complication risks in reconstructive operations with presence of complications on the previous stage of treatment. This correlation was 4,3 (CI 1,7-23,3; p=0,021) and it consisted of 7, 5 (CI 1,3-15,6; p=0,001) in case of presence of the third degree of adhesion process.

колоректальный раккишечная непроходимостьоперация Гартманаcolorectal cancerintestinal obstructionHartmann operationReferencesПомазкин В. И., Мансуров Ю. В. Тактика оперативного лечения при опухолевой обтурационной толстокишечной непроходимости // Хирургия. 2008. № 9. С. 15-18.Помазкин В. И., Мансуров Ю. В. Тактика оперативного лечения при опухолевой обтурационной толстокишечной непроходимости // Хирургия. 2008. № 9. С. 15-18.Пугаев А. В., Ачкасов Е. Е. Обтурационная опухолевая толстокишечная непроходимость. М.: ПРОФИЛЬ, 2005. 224 с.Пугаев А. В., Ачкасов Е. Е. Обтурационная опухолевая толстокишечная непроходимость. М.: ПРОФИЛЬ, 2005. 224 с.Banerjee S., Leather A., Renmé J. et al. Feasibility and morbidity of reversal of Hartmann’s // Colorectal Dis. 2005. Vol. 7. P. 454-459.Banerjee S., Leather A., Renmé J. et al. Feasibility and morbidity of reversal of Hartmann’s // Colorectal Dis. 2005. Vol. 7. P. 454-459.Chereau N., Lefevre Y., Lefrancois M. et al. Management of malignant left colonic obstruction: is an initial temporary colostomy followed by surgical resection a better option?// Colorectal Dis. 2013. Vol. 15. P. 646-653.Chereau N., Lefevre Y., Lefrancois M. et al. Management of malignant left colonic obstruction: is an initial temporary colostomy followed by surgical resection a better option?// Colorectal Dis. 2013. Vol. 15. P. 646-653.Coleman M., McLain A., Moran B. Impact of previous surgery on time taken for incision and division of adhesions during laparotomy // Dis. Colon Rectum. 2000. Vol. 43. P. 1297-1299.Coleman M., McLain A., Moran B. Impact of previous surgery on time taken for incision and division of adhesions during laparotomy // Dis. Colon Rectum. 2000. Vol. 43. P. 1297-1299.Cross K., Rees J., Sanlsby R. et al. Primary anastomosis without colonic lavage for the obstructed left colon // Ann. R. Coll. Surg. Engl. 2008. Vol. 90. P. 302-304.Cross K., Rees J., Sanlsby R. et al. Primary anastomosis without colonic lavage for the obstructed left colon // Ann. R. Coll. Surg. Engl. 2008. Vol. 90. P. 302-304.Deans G., Krukowski Z., Irwin S. Malignant obstruction of the left colon // Br. J. Surg. 2005. Vol. 81. P. 1270-1276.Deans G., Krukowski Z., Irwin S. Malignant obstruction of the left colon // Br. J. Surg. 2005. Vol. 81. P. 1270-1276.Garber A., Hyman N., Osler T. Complications of Hartmann take-down in a decade of preferred primary anastomosis // Am. J. Surg. 2014. Vol. 207. P. 60-64.Garber A., Hyman N., Osler T. Complications of Hartmann take-down in a decade of preferred primary anastomosis // Am. J. Surg. 2014. Vol. 207. P. 60-64.Köhler A., Athanasiadis S., Nafe M. Postoperative results of colostomy and ileostomy closure: a retrospective analysis of three different closure techniques in 182 patients // Chirurg. 1994. Vol. 65. P. 529-532.Köhler A., Athanasiadis S., Nafe M. Postoperative results of colostomy and ileostomy closure: a retrospective analysis of three different closure techniques in 182 patients // Chirurg. 1994. Vol. 65. P. 529-532.Parker M., Wilson M., Menzies D. et al. Colorectal surgery: the risk and burden of adhesion-related complications // Colorectal Dis. 2004. Vol. 6. P. 506-511.Parker M., Wilson M., Menzies D. et al. Colorectal surgery: the risk and burden of adhesion-related complications // Colorectal Dis. 2004. Vol. 6. P. 506-511.Pearce N., Scott S., Karran S. Timing and method of reversal of Hartmann’s procedure // Br. J. Surg. 1992. Vol. 79. P. 839-841.Pearce N., Scott S., Karran S. Timing and method of reversal of Hartmann’s procedure // Br. J. Surg. 1992. Vol. 79. P. 839-841.Pokorny H., Herkner H., Jakesz R. et al. Mortality and complications after stoma closure // Arch. Surg. 2005, Vol. 140. Р. 956-960.Pokorny H., Herkner H., Jakesz R. et al. Mortality and complications after stoma closure // Arch. Surg. 2005, Vol. 140. Р. 956-960.Roe A., Prabhu S., Ali A. et al. Reversal of Hartmann’s procedure: timing and operative technique // Br. J. Surg. 1991. Vol. 78. P. 1167-1170.Roe A., Prabhu S., Ali A. et al. Reversal of Hartmann’s procedure: timing and operative technique // Br. J. Surg. 1991. Vol. 78. P. 1167-1170.Roig J., Cantos M., Balciscueta Z. et al. Hartmann’s operation: how often is it reversed and at what cost? A multicentre study // Colorectal Dis. 2011. Vol. 13. P. 396-402.Roig J., Cantos M., Balciscueta Z. et al. Hartmann’s operation: how often is it reversed and at what cost? A multicentre study // Colorectal Dis. 2011. Vol. 13. P. 396-402.Salem L., Anaya D., Roberts R. et al. Hartmann’s colectomy and reversal in diverticulitis: a population-level assessment // Dis. Colon Rectum. 2005. Vol. 48. P. 988-995.Salem L., Anaya D., Roberts R. et al. Hartmann’s colectomy and reversal in diverticulitis: a population-level assessment // Dis. Colon Rectum. 2005. Vol. 48. P. 988-995.

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