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 Russia10.24884/0042-4625-2014-173-4-43-46grekov-552Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYЯВЛЯЕТСЯ ЛИ ЛОКАЛИЗАЦИЯ ОПУХОЛИ В ИНТРАПЕРИТОНИАЛЬНОЙ ЧАСТИ ПРЯМОЙ КИШКИ ПРОТИВОПОКАЗАНИЕМ ДЛЯ ТРАНСАНАЛЬНОЙ ЭНДОМИКРОХИРУРГИИ?IS THE LOCALIZATION OF THE TUMOR IN INTRA-PERITONEAL PART OF THE RECTUM CONTRAINDICATION TO TRANSANAL ENDOSCOPIC MICROSURGERY?ШелыгинЮрий АнатольевичShelyginYu. A.shelygin@yandex.ruРыбаковЕвгений ГеннадьевичRybakovE. G.erybakov@gmail.comЧернышовСтанислав ВикторовичChernyshovS. V.stchernyshov@gmail.comКузнецовНикита СергеевичKuznetsovN. S.notebene22@yandex.ruГосударственный научный центр колопроктологииРоссияState Research Center of ColoproctologyRussian Federation20141501201817344346Copyright © Шелыгин Ю.А., Рыбаков Е.Г., Чернышов С.В., Кузнецов Н.С., 20182018Шелыгин Ю.А., Рыбаков Е.Г., Чернышов С.В., Кузнецов Н.С.Shelygin Y.A., Rybakov E.G., Chernyshov S.V., Kuznetsov N.S.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/552

Transanal endoscopic microsurgery (TEM) is the method used in cases of benign tumors at the early stages of rectal cancer. The tumor localization in peritonized part of the rectum indicates a limiting level for removal of the neoplasm. TEM was performed on 137 patients. The mean age was 63,8±9,8 years and the number of women consisted of 65,7%. Neoplasms were located in the upper ampullar rectum and a potential possibility of connection with the peritoneal cavity was noted in 12 (8,7%) patients, but during TEM it was only in 5 cases. There wasn’t any conversion to a peritoneal surgery. The wound closures were carried out from the side of the rectum lumen and all the operations were finished with the control laparoscopy and formation of sigmostoma. The stomas were closed in 3 patients on fifth- sixth weeks. A connection with the peritoneal cavity during TEM isn’t critical event in the case of wound closure through surgical rectoscope and it doesn’t lead to the conversion to radical operation.

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