MODERN APPROACHES TO COLPROCECTOMY IN COMPLICATED ULCERATIVE COLITIS

Objective. To improve the technique of colproctectomy and suturing of the anal stump during the surgical treatment of complicated UC.

Materials and methods. The study group included 10 patients who were operated on for complicated ulcerative colitis at the Minsk Regional Clinical Hospital in the period from 2019 to 2021.

Results. The study group consisted of 5 men and 5 women. The group underwent three proximal and one distal subtotal colectomies, two colectomies and three colproctectomies. One mesorectumectomy with the formation of a pelvic small intestinal J-reservoir was performed after a total colectomy with end ileostomy and the formation of an intra-abdominal rectal stump. When performing subtotal colectomy, total colectomy and colproctectomy, the colon was removed as part of a mesocolonectomy. Colproctectomy additionally included mesorectumectomy. In the study group, 3 anal canal stumps were formed with a single-row extramucosal suture using a monofilament thread.

Conclusion. Mesocolonectomy and mesorectumectomy in the surgical treatment of complicated ulcerative colitis can reduce the number of postoperative complications and comply with oncological principles. The use of an extramucosal single-row suture for the formation of an anal stump after colproctectomy is clinically justified.

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Автор(ы): A. H. Dybau, A. V. Varabei, A. Ch. Shuleiko, A. M. Starastsin