Abstract

Результаты трехуровневой эзофагэктомии с одноэтапной эзофагоколонопластикой при хирургическом лечении карцином пищевода и пищеводно-желудочного перехода

Highlights

  • IntroductionMalignant tumors of the esophagus and gastroesophageal junction are an indication for various types of radical surgeries, where the main stage is the removal of a malignant tumor (the esophagus resection or esophagectomy) in accordance with the basic principles of cancer radicalism

  • Malignant tumors of the esophagus and gastroesophageal junction are an indication for various types of radical surgeries, where the main stage is the removal of a malignant tumor in accordance with the basic principles of cancer radicalism

  • To restore the continuity of the digestive tract after esophagectomy with the nontransplantability of the stomach and small intestine, a variety of techniques can be used with the use of the colon as a graft, which makes it possible to cut out the segment necessary for translocation along the neck length

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Summary

Introduction

Malignant tumors of the esophagus and gastroesophageal junction are an indication for various types of radical surgeries, where the main stage is the removal of a malignant tumor (the esophagus resection or esophagectomy) in accordance with the basic principles of cancer radicalism. The situation is complicated if, due to various circumstances, the stomach is unsuitable for replacing the resected or removed esophagus. In this case, other more complex interventions can be used, implying the possibility of using the available plastic reserve in the form of a large or small intestine, taking into account the specific features of the vascular anatomy of the visceral graft chosen for plasty. To restore the continuity of the digestive tract after esophagectomy with the nontransplantability of the stomach and small intestine, a variety of techniques can be used with the use of the colon as a graft, which makes it possible to cut out the segment necessary for translocation along the neck length

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