[Completion of esophagoplasty by means of transplant's remobilization].
Experience in completion of esophagoplasty by means of old transplant's remobilization in 54 patients is analyzed. Primary esophagoplasty in 52 patients was performed for burn stricture, 1 -- for traumatic stricture, 1 -- cancer of the esophagus. In 26 patients the cause of incomplete esophagoplasty was deficient length, in 11 -- necrosis, in 8 -- doubtful viability of transplant, in 7 -- insufficiency of esophageal anastomosis, in 2 -- prolonged obliteration of it. Total remobilization was performed in 41 patients, partial -- in 13. Thirty-six colic, 17 intestinal and 1 gastric transplants were used repeatedly. Esophagoplasty was completed in 50 patients, in 42 of them by one stage. In the rest 4 patients delayed pharyngoplasty was performed in the ENT clinic. One (1.8%) patient died in hospital due to insufficiency of proximal anastomosis and phlegmon of the thorax. Long-term result was studied in 40 patients: it was good in 25 patients, satisfactory -- in 12, bad -- in 3 patients.
Chernousov
A F
AF
Ruchkin
D V
DV
Chernousov
F A
FA
D000293:Adolescent; D000328:Adult; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D014182:Transplantation, Autologous