grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal 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 Russia10.24884/0042-4625-2015-174-2-42-46grekov-36Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYАНАСТОМОЗ «БОК В КОНЕЦ» ПРИ НИЗКИХ ПЕРЕДНИХ РЕЗЕКЦИЯХ ПРЯМОЙ КИШКИSIDE-TO-END ANASTOMOSIS IN LOW ANTERIOR RECTAL RESECTIONШелыгинЮ. А.ShelyginYu. A.info@gnck.ruБудтуевА. С.BudtuevA. S.budtuev_artem@mail.ruПикуновД. Ю.PikunovD. Yu.pikunov.gnck@mail.ruРыбаковЕ. Г.RybakovE. G.erybakov@gmail.comФоменкоО. Ю.FomenkoO. Yu.rmapo@rmapo.ruСевостьяновС. И.Sevost’YanovS. I.serg-sevostyanov@yandex.ruГосударственный научный центр колопроктологииРоссияState research centre of coloproctologyRussian FederationРоссийская медицинская академия последипломного образованияРоссияRussian Medical Academy of Post-Graduate EducationRussian Federation20152804201517424246Copyright © Шелыгин Ю.А., Будтуев А.С., Пикунов Д.Ю., Рыбаков Е.Г., Фоменко О.Ю., Севостьянов С.И., 20152015Шелыгин Ю.А., Будтуев А.С., Пикунов Д.Ю., Рыбаков Е.Г., Фоменко О.Ю., Севостьянов С.И.Shelygin Y.A., Budtuev A.S., Pikunov D.Y., Rybakov E.G., Fomenko O.Y., Sevost’Yanov S.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/36

The authors have launched a prospective randomized study aimed to make a comparison of functional results of formation of straight coloanal (control group) and side-to end (main group) anastomosis in case of low anterior rectal resection since 2012. Each group consisted of 40 patients undergoing operation concerning uncomplicated rectal cancer of medium-ampullar section of rectum. It was noted that patients of the main group had lower stool frequency in postoperative period. A function of the interior sphincter was less damaged and the rate of compliance of rectum was high.

анастомоз «бок в конец»синдром низкой передней резекцииside-to-end anastomosislow anterior resection syndromeReferencesФоменко О. Ю. Роль изменения параметров ректоанального ингибиторного рефлекса в патогенезе анальной инконтиненции // Колопроктология. 2012. Т. 11. С. 20-27.Фоменко О. Ю. Роль изменения параметров ректоанального ингибиторного рефлекса в патогенезе анальной инконтиненции // Колопроктология. 2012. Т. 11. С. 20-27.Allgayer H. D., Rohde W., Koch G. F., Tuschhoff T. Prospective comparison of short- and long-term effects of pelvic floor exercise/ biofeedback training in patients with fecal incontinence after surgery plus irradiation versus surgery alone for colorectal cancer: clinical, functional and endoscopic/endosonographic findings // Scand. J. Gastroenterol. 2005. Vol. 40. P. 1168-1175.Allgayer H. D., Rohde W., Koch G. F., Tuschhoff T. Prospective comparison of short- and long-term effects of pelvic floor exercise/ biofeedback training in patients with fecal incontinence after surgery plus irradiation versus surgery alone for colorectal cancer: clinical, functional and endoscopic/endosonographic findings // Scand. J. Gastroenterol. 2005. Vol. 40. P. 1168-1175.Baker J. W. Low end to side rectosigmoidal anastomosis; description of technic // Arch. Surg. 1950. № 61. P. 143-157.Baker J. W. Low end to side rectosigmoidal anastomosis; description of technic // Arch. Surg. 1950. № 61. P. 143-157.Brown C. J., Fenech D. S., McLeod R. S. Reconstructive techniques after rectal resection for rectal cancer // Cochrane Database Syst. Rev. 2008. № 2. P. Cd006040.Brown C. J., Fenech D. S., McLeod R. S. Reconstructive techniques after rectal resection for rectal cancer // Cochrane Database Syst. Rev. 2008. № 2. P. Cd006040.Dehni N., Tiret E., Singland J. D. et al. Long-term functional outcome after low anterior resection: comparison of low colorectal anastomosis and colonic J-pouch-anal anastomosis // Dis. Colon. Rectum. 1998. Vol. 41 P. 817-822; discussion 822-823.Dehni N., Tiret E., Singland J. D. et al. Long-term functional outcome after low anterior resection: comparison of low colorectal anastomosis and colonic J-pouch-anal anastomosis // Dis. Colon. Rectum. 1998. Vol. 41 P. 817-822; discussion 822-823.Fazio V. W., Mantyh C. R., Hull T. L. Colonic «coloplasty»: novel technique to enhance low colorectal or coloanal anastomosis // Dis. Colon. Rectum. 2000. Vol. 43 P. 1448-1450.Fazio V. W., Mantyh C. R., Hull T. L. Colonic «coloplasty»: novel technique to enhance low colorectal or coloanal anastomosis // Dis. Colon. Rectum. 2000. Vol. 43 P. 1448-1450.Hallbook O., Sjodahl R. Surgical approaches to obtaining optimal bowel function // Semin. Surg. Oncol. 2000. Vol. 18. P. 249-258.Hallbook O., Sjodahl R. Surgical approaches to obtaining optimal bowel function // Semin. Surg. Oncol. 2000. Vol. 18. P. 249-258.Heald B. Autonomic nerve preservation in rectal cancer surgery - the forgotten part of the TME message a practical «workshop» description for surgeons // Acta Chir. Yugosl. 2008. Vol. 55 P. 11-16.Heald B. Autonomic nerve preservation in rectal cancer surgery - the forgotten part of the TME message a practical «workshop» description for surgeons // Acta Chir. Yugosl. 2008. Vol. 55 P. 11-16.Ho Y. H., Tsang C., Tang C. L. et al. Anal sphincter injuries from stapling instruments introduced transanally: randomized, controlled study with endoanal ultrasound and anorectal manometry // Dis. Colon. Rectum. 2000. Vol. 43. P. 169-173.Ho Y. H., Tsang C., Tang C. L. et al. Anal sphincter injuries from stapling instruments introduced transanally: randomized, controlled study with endoanal ultrasound and anorectal manometry // Dis. Colon. Rectum. 2000. Vol. 43. P. 169-173.Ho Y. H., Yu S., Ang E. S. et al. Small colonic J-pouch improves colonic retention of liquids - randomized, controlled trial with scintigraphy // Dis. Colon. Rectum. 2002. Vol. 45. P. 76-82.Ho Y. H., Yu S., Ang E. S. et al. Small colonic J-pouch improves colonic retention of liquids - randomized, controlled trial with scintigraphy // Dis. Colon. Rectum. 2002. Vol. 45. P. 76-82.Huber F.T., Herter B., Siewert J. R. Colonic pouch vs. side-to-end anastomosis in low anterior resection // Dis. Colon. Rectum. 1999. Vol. 42. P. 896-902.Huber F.T., Herter B., Siewert J. R. Colonic pouch vs. side-to-end anastomosis in low anterior resection // Dis. Colon. Rectum. 1999. Vol. 42. P. 896-902.Joo J. S., Latulippe J. F., Alabaz O. et al. Long-term functional evaluation of straight coloanal anastomosis and colonic J-pouch: is the functional superiority of colonic J-pouch sustained? // Dis. Colon. Rectum. 1998. Vol. 41, № 6. P. 740-746.Joo J. S., Latulippe J. F., Alabaz O. et al. Long-term functional evaluation of straight coloanal anastomosis and colonic J-pouch: is the functional superiority of colonic J-pouch sustained? // Dis. Colon. Rectum. 1998. Vol. 41, № 6. P. 740-746.Jorge J. M., Wexner S. D. Etiology and management of fecal incontinence // Dis. Colon. Rectum. 1993. Vol. 36. P. 77-97.Jorge J. M., Wexner S. D. Etiology and management of fecal incontinence // Dis. Colon. Rectum. 1993. Vol. 36. P. 77-97.Kakodkar R., Gupta S., Nundy S. Low anterior resection with total mesorectal excision for rectal cancer: functional assessment and factors affecting outcome // Colorectal Dis. 2006. Vol. 8. 650-656.Kakodkar R., Gupta S., Nundy S. Low anterior resection with total mesorectal excision for rectal cancer: functional assessment and factors affecting outcome // Colorectal Dis. 2006. Vol. 8. 650-656.Kim N. K. Anatomic basis of sharp pelvic dissection for curative resection of rectal cancer // Yonsei Med. J. 2005. Vol. 46, P. 737-749.Kim N. K. Anatomic basis of sharp pelvic dissection for curative resection of rectal cancer // Yonsei Med. J. 2005. Vol. 46, P. 737-749.Lazorthes F., Chiotasso P., Gamagami R. A. et al. Late clinical outcome in a randomized prospective comparison of colonic J pouch and straight coloanal anastomosis // Br. J. Surg. 1997. Vol. 84. P. 1449-1451.Lazorthes F., Chiotasso P., Gamagami R. A. et al. Late clinical outcome in a randomized prospective comparison of colonic J pouch and straight coloanal anastomosis // Br. J. Surg. 1997. Vol. 84. P. 1449-1451.Rao G. N., Drew P. J., Lee P. et al. Anterior resection syndrome is secondary to sympathetic denervation // Int. J. Colorectal Dis. 1996. Vol. 11. P. 250-258.Rao G. N., Drew P. J., Lee P. et al. Anterior resection syndrome is secondary to sympathetic denervation // Int. J. Colorectal Dis. 1996. Vol. 11. P. 250-258.

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