[Advantages and disadvantages of esophagogastroplasty in reconstruction of malignant and benign esophageal stenosis].
Advantageous morphology, sufficient blood supply and good tissue quality predispose use of stomach for ideal substitute in subtotal and total esophagoplasty. Additional advantages are one act surgery and possibility of single anastomosis formation. In an eighteen years' time, since 1976., two hundred nine (209) patients were operated with use of esophagogastroplasty for malignancies and benign diseases of esophagus and hyphopharinx. The esophagogastric anastomosis is most common reconstructive procedure for esophageal and hyphopharingeal malignancies. Anastomosis on pharyngeal level was made in 13 pts., on cervical esophagus level in 168 pts. and on thoracic esophagus level in the rest of 28 pts. Overall postoperative morbidity was 25,36%. Most common complication was anastomotic dehiscence (18,66%), transplant necrosis occurred in 2% of pts., whereas stenosis of the anastomosis was observed in 4,78% of pts. Overall intrahospital mortality was 14,38%, while specific mortality (anastomotic dehiscence and/or transplant necrosis) was 10,04% (21 pts.), whereas nonspecific mortality (predominantly lung insufficiency) was 4,78% (10 pts.). Anastomotic dehiscence is major disadvantage of this method.
Pesko
P
P
Institut za bolesti digestivnog sistema KCS I hirurska klinika za digestivnu hirurgiju, Beograd.
Knezević
J
J
Randelović
T
T
Kotarac
M
M
Stojakov
D
D
Janković
Z
Z
Ilić
N
N
Jekić
I
I
Simić
A
A
Gerzić
Z
Z
D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000150:complications; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000150:complications; D013270:Stomach / Q000601:surgery*
Prednosti i nedostaci ezofagogastroplastike u rekonstrukciji malignih i benignih stenoza jednjaka.