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Lankov T.S.

Beloostrov High-Tech Clinic, St. Petersburg, Russia

Lavrenteva A.N.

Mechnikov North-Western State Medical University, St. Petersburg, Russia

Karachun A.M.

Petrov National Medical Research Center of Oncology, St. Petersburg, Russia

Kashchenko V.A.

Beloostrov High-Tech Clinic, St. Petersburg, Russia

Belikova M.Ya.

Beloostrov High-Tech Clinic, St. Petersburg, Russia

Methods for colon perfusion assessment

Authors:

Lankov T.S., Lavrenteva A.N., Karachun A.M., Kashchenko V.A., Belikova M.Ya.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(4): 102‑109

DOI: 10.17116/hirurgia2026041102

Read: 449 times

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Table of contents

METHODS FOR COLON PERFUSION ASSESSMENT
METHODS FOR COLON PERFUSION ASSESSMENT

To cite this article:

Lankov TS, Lavrenteva AN, Karachun AM, Kashchenko VA, Belikova MYa. Methods for colon perfusion assessment. Pirogov Russian Journal of Surgery. 2026;(4):102‑109. (In Russ.)
https://doi.org/10.17116/hirurgia2026041102

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Colorectal cancer is a malignant tumor arising from mucosa of large intestine (colon, rectosigmoid part and rectum). Currently, surgery is the primary treatment for colorectal cancer regarding oncological perspective. However, it is associated with high risk of postoperative complications, and one of these is anastomotic leakage (AL). According to various data, the incidence of AL can reach 35%. One of the main factors for AL is impairment of perfusion in anastomotic area. We hypothesize that preserving the left colic artery in rectosigmoid and rectal surgeries, as well as the first sigmoid artery in rectal surgeries will reduce the incidence of AL. Modern technologies, including CT perfusion, indocyanine green dye, photoplethysmography, perfusion flowmetry, and MASP (marginal artery stump pressure) allow us to assess perfusion preoperatively and intraoperatively. This review analyzes the main causes of AL from physiological and metabolic-biochemical perspective. It presents statistical data reflecting the relevance of intestinal perfusion assessment and proposes hypotheses that could significantly reduce the incidence of anastomotic leakage. Study objective was to select the optimal method for assessing intestinal perfusion. We analyzed the articles published in PubMed and Sci-Hub databases.

Keywords:

anastomotic leakage
colorectal cancer
left colic artery
sigmoid artery

Authors:

Lankov T.S.

Beloostrov High-Tech Clinic, St. Petersburg, Russia

Lavrenteva A.N.

Mechnikov North-Western State Medical University, St. Petersburg, Russia

Karachun A.M.

Petrov National Medical Research Center of Oncology, St. Petersburg, Russia

Kashchenko V.A.

Beloostrov High-Tech Clinic, St. Petersburg, Russia

Belikova M.Ya.

Beloostrov High-Tech Clinic, St. Petersburg, Russia

Received:

26.03.2025

Accepted:

25.04.2025

Close metadata

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