[Posteromediastinal esophagogastroplasty in esophageal surgery].
The results of esophagogastroplasty in 101 patients are analysed. 41 patients had benign esophageal structure, 60 patients--benign esophageal tumors. Certain improvements of abdomino-cervical access and closed one-stage esophagogastroplasty have been proposed. The improvements include: use of the fibro-optical systems for esophageal mobilisation under the visual control, bringing down of duodenojejunal transition for prevention of esophageal reflux, posterior mediastinum tamponade with a muscle for prevention of mediastinitis, aseptic invaginational esophagogastric anastomosis. A significant reduction in the rate of purulent complications was observed. The rate of mortality was 7.9% (8/101).
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D004938:Esophageal Neoplasms / Q000601:surgery; D004940:Esophageal Stenosis / Q000601:surgery; D016629:Esophagectomy / Q000379:methods; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D013536:Suture Techniques