Possibilities of improving of the high esophagogastroplasty methods in the treatment of esophageal cancer
DOI:
https://doi.org/10.24144/2415-8127.2018.57.31-34Keywords:
esophagogastric anastomosis, leakage.Abstract
When performing esophagogastrostoplastics with regard to esophageal cancer, there is a high risk of developing anastomosis leakage, which increases with increasing a gastric graft length. 148 patients with esophageal cancer were examined. It was found that the incidence of development of the anastomosis leakage in the neck was significantly higher, which in our opinion was associated with disturbances of blood supply to the distal part of the graft with an increase in its length. Modification methods of high esophagogastroplastics are proposed, which increase the length of the graft and the distance to which it can be moved, as well as methods aimed at improving the blood supply conditions of the graft and intraoperative blood supply control. The use of these approaches in 56 patients allowed to reduce the incidence of gastric transplant twice.
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