[Use of microsurgical technic in abdominal surgery].

Area of Science:

• Gastroenterology
• Surgical Oncology
• Microsurgery

Background:

• Tumors in the proximal stomach and colon necessitate complex surgical interventions.
• The formation of esophago-intestinal and colono-intestinal anastomoses is a critical step in these procedures.
• Complications such as suture incompetence and peritonitis can significantly impact patient recovery.

Purpose of the Study:

• To compare the efficacy of microsurgical techniques versus traditional surgical methods for forming gastrointestinal anastomoses.
• To evaluate the incidence of suture incompetence and peritonitis in patients treated with different anastomosis techniques.

Main Methods:

• Analysis of surgical treatment results for 172 patients with proximal stomach and colon tumors.
• Division of patients into two groups based on the method of forming esophago-intestinal and colono-intestinal anastomoses.
• Comparison of complication rates between microsurgical and conventional surgical techniques.

Main Results:

• Microsurgical techniques resulted in a significantly lower incidence of suture incompetence.
• Peritonitis occurred less frequently in the group treated with microsurgical anastomosis.
• The study demonstrated a clear advantage of microsurgery in reducing anastomotic complications.

Conclusions:

• Microsurgical techniques for esophago-intestinal and colono-intestinal anastomosis formation are superior to traditional surgical methods.
• The adoption of microsurgery can lead to improved patient outcomes by minimizing serious postoperative complications.
• Further research into microsurgical applications in gastrointestinal oncology is warranted.