Modern possibilities of urorectal fistula laparoscopic fistuloplasty

Abstract

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