Современные возможности лапароскопической пластики мочепузырно-прямокишечного свища

Современные возможности лапароскопической пластики мочепузырно-прямокишечного свищ

Modern possibilities of urorectal fistula laparoscopic fistuloplasty

The aim was to study the laparoscopic fistuloplasty possibility of the urorectal fistula (URF) that has occured after the rectal resectionin patient with colon cancer and to determine the ways to improve the results of the treatment for this complication. Patient N., 60 y. o., underwent the successful laparoscopic fistuloplasty of the URF that has occurred after surgical treatment for colon cancer and adjuvant polychemotherapy. The minimally invasive fistuloplasty is possible and has a good tolerability even in patients with oncopathology after extended pelvic surgical treatment and chemotherapy. Due to the operation specific this kind of surgery should be performed only in center with high laparoscopic and pelvic surgery experience

Intraoperative platelet rich plasma injection for improvement of continence recovery after radical prostatectomy in locally advanced prostate cancer patients. Experimental research and preliminary clinical results

The functional results of the radical prostatectomy (RPE) in locally advanced prostate cancer (PCa) are worse because the nerve sparing technique do not use. The stricture of the vesicourethral anastomosis is detected in 7.5 - 14% cases (Wang R. et al, 2012), about 17% patients have incontinence after surgery in pT3 prostate cancer. The trophic decoders result in scars surround of the vesicourethral anastomosis that might be one of cause of the incontinence. Regenerative technology such as platelet rich plasma (PRP) can improve the trophic properties of the tissue. Objective. The aim was to study the influence of the PRP injections on morphological changers of the urethral anastomosis on an experimental animal model. Then the first experience of the intraoperative PRP injection in vesicourethral anastomosis area during RPE in pT3a-pT3b PCa was assessed

Modern possibilities of urorectal fistula laparoscopic fistuloplasty

Tkachenko А. I., Osadchii D. N., Lysenko V. V., Maksimoskii V. E., Lukianchuk O. V., Chetverikov S. G., Lysachenko V. V., Chaika A. M., Chistiakov R. S., Melenevskii A. D., Mashukov A. A., Atanasov D. V., Pirogov V. V., Stoliarchuk E. A. Modern possibilities of urorectal fistula laparoscopic fistuloplasty. Journal of Education, Health and Sport. 2018;8(8):1175-1185. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1439188 http://ojs.ukw.edu.pl/index.php/johs/article/view/6138 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author(s) 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.08.2018. Revised: 14.08.2018. Accepted: 31.08.2018. Modern possibilities of urorectal fistula laparoscopic fistuloplasty А. I. Tkachenko1, D. N. Osadchii1, V. V. Lysenko1, V. E. Maksimoskii1, O. V. Lukianchuk2, S. G. Chetverikov1, V. V. Lysachenko1, A. M. Chaika1, R. S. Chistiakov1, A. D. Melenevskii1, A. A. Mashukov2, D. V. Atanasov1, V. V. Pirogov1, E. A. Stoliarchuk1 1Reconstructive Center (University Clinic) of Odessa National Medical University, Odessa, Ukraine 2 Odessa Regional Oncology Health Center, Odessa, Ukraine Tkachenko Aleksandr I., MD, DSci (Med), Professor, Head of surgery department №4 with oncology department of Odessa national medical university Reconstructive center University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380503366933, [email protected] Orcid.org/0000-0001-7929-0220 Osadchii Dmitrii N. – PhD (Med), assistant Head of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380503901504, [email protected] Orcid.org/0000-0001-6421-6490 Lysenko Viktoria V. - PhD (Med) Urologist of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380504570399, [email protected] Orcid.org/0000-0002-7200-4954 Maksimoskii Viacheslav E. - PhD (Med), assistant Head of operation department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380503921484, [email protected] Orcid.org/0000-0001-5084-3290 Lukianchuk Oleg V. – PhD (Med) Head of Odessa regional oncology health center Odessa regional oncology health center 32, Negdanovoy str., 65055, Odessa, Ukraine, +380674841053, [email protected] Orcid.org/0000-0002-7575-7708 Chetverikov Sergei G. - MD, DSci (Med), Professor Professor of surgery department №4 with oncology department of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380503364336, [email protected] Orcid.org/0000-0002-7961-1503 LysachenkoVladislav V. – MBBS Resident of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380631301415, [email protected] Orcid.org/0000-0002-1229-1752 Chaika Aleksandr M. - PhD (Med), assistant Urologist of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380675570375, [email protected] Orcid.org/0000-0001-7540-143X Chistiakov Roman S. – assistant Urologist of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380506209928, [email protected] Orcid.org/0000-0002-7049-7628 Melenevskii Aleksey D. – assistant Urologist of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380632499421, [email protected] Orcid.org/0000-0001-9963-860X Mashukov Artem A. - PhD (Med), assistant Surgeon of surgery department of Odessa regional oncology health center Odessa regional oncology health center 32, Negdanovoy str., 65055, Odessa, Ukraine, +380682560696, [email protected] Orcid.org/0000-0001-6925-4218 Atanasov Dmitrii V. – assistant Surgeon of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380679065653, [email protected] Orcid.org/0000-0003-4349-9131 Pirogov Vadim V. – MBBS Resident of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380672532008, [email protected] Orcid.org/0000-0001-7781-844X Stoliarchuk Evgenii A. – MBBS Resident of surgery department of University clinic of Odessa national medical university Reconstructive center (University clinic) of Odessa national medical university 8 Tinista str., 65009, Odessa, Ukraine, +380939834719, [email protected] Orcid.org/0000-0003-0561-5357 Abstract Objective. The aim was to study the laparoscopic fistuloplasty possibility of the urorectal fistula (URF) that has occured after the rectal resectionin patient with colon cancer and to determine the ways to improve the results of the treatment for this complication. Clinical case. Patient N., 60 y. o., underwent the successful laparoscopic fistuloplasty of the URF that has occurred after surgical treatment for colon cancer and adjuvant polychemotherapy. Conclusion. The minimally invasive fistuloplasty is possible and has a good tolerability even in patients with oncopathology after extended pelvic surgical treatment and chemotherapy. Due to the operation specific this kind of surgery should be performed only in center with high laparoscopic and pelvic surgery experience. Key words: urorectal fistula; laparoscopic fistuloplasty