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  

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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, doctortkachenko@i.ua

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, dmytros77@ukr.net

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, Victorya_lisenko@mail.ru

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, maksidoc@gmail.com

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, Oood09@dh.od.ua

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, office@onmedu.edu.ua

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, Megavlad481@gmail.com

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, office@onmedu.edu.ua

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, office@onmedu.edu.ua

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, office@onmedu.edu.ua

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, Oood09@dh.od.ua

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, office@onmedu.edu.ua

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, Motorid@gmail.com

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, engenes100@gmail.com

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.