Wyzwania w odtworzeniu cigoci przewodu pokarmowego. Jednoorodkowa analiza 91 pacjentw poddanych operacji odtworzenia.

IntroductionRestoration of bowel continuity is associated with a significant postoperative morbidity. The aim of the study was to report the outcomes of the restoring the intestine continuity in a large patient cohort.Material and methodsRetrospective analysis of 91 patients with terminal stoma qualified for restoring GI tract continuity between January 2015 and march 2020 were conducted. Demographic and clinical characteristics such as age, gender, BMI, comorbidities, indication for stoma creation, operative time, the need of blood replacement, site and type of the anastomosis, complication and mortality rates were analyzed.ResultsThe study group comprised of 40 women (44%) and 51 men (56%). The mean BMI was 26.8 4.9 kg/m2. The only 29.7% of patients (n-27) were in normal weight (BMI: 18.524.9) and the only 11% of patients (n-10) did not suffer from any comorbidities. The most common indication for index surgery were: complicated diverticulitis (37.4%) and colorectal cancer (21.9%). Stapled technique was used in majority of patients (n-79; 87%). The mean operative time was 191.7 71.4 minutes. Nine patients (9.9%) required blood replacement peri- or postoperatively, whereas three patients (3.3%) required staying in intensive care unit. The overall surgical complication rate and mortality rate was 36.2% (n-33) and 1.1% (n-1), respectively DisscusionRestoration of bowel continuity is quite demanding and complex procedure and thus should be performed by well experienced surgical team. In majority of patients, complication rate is limited to minor complications. The morbidity and mortality rates are acceptable and comparable to other publications.