[End-to-end anastomosis as a method of choice in right hemicolectomy]

The newest and long-term results of treatment of 239 patients were analyzed in whom right hemicolectomy with ileotransverse anastomoses "end-to side", "side-to side" and "end-to-end" were fulfilled. When estimating the results, the data of original methods developed and tested in the clinic were used for studying the motility and bioelectrical activity of the intestine in addition to clinical parameters. The main regularities of the development of postoperative complications were found in randomized groups. It was established that choice of the optimum variant of the anastomosis in right hemicolectomy was dependent on the understanding of pathophysiological consequences of either intestinal anastomosis. The anastomosis "end-to-end" is the quickest to fulfil, less traumatic and safe of the 3 types of ileotransverse anastomosis.