[Surgical treatment of patients suffering esophageal cancer and stomach cancer spreading to the esophagus using abdominocervical access].
Radical operative interventions using abdominocervical access were performed in 145 patients for esophageal and gastroesophageal cancer. Of them in 99 (68.3%) patients isoperistaltic esophagoplasty was performed: in 54 (54.5%)--using isoperistaltic tube, formatted from gastric big curvature, in 23 (23.2%)--portion of jejunum, in 18 (18.2%)--portion of colon and in 4 (4.1%)--ileocecal angle. Retrosternal way of transplant transposition toward the neck was choused in 86 (86.9%) patients, via the resected esophagus bed--in 10 (10.1%) and subcutaneous one, presternal--in 3 (3%). Postoperative mortality had constituted 10.3%. For locally advanced cancer, affecting thoracic esophagus or gastroesophageal one the performance of subtotal-total esophageal resection is indicated. Application of abdominocervical access owes essential advantages for the patient and surgeon, comparing with lateral thoracotomy, because it secures less traumatic, adequately wide and visually controlled approach to mediastinal structures in esophageal cancer, and is characterized by oncological loyalty and surgical utility.
Saienko
V F
VF
Miasoiedov
S D
SD
Andreieshchev
S A
SA
Kondratenko
P M
PM
Umanets'
M S
MS
Fediuchek
A S
AS
Stadil'na
T Ie
TIe
Prysiazhniuk
D A
DA
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods* / Q000401:mortality; D018572:Disease-Free Survival; D004938:Esophageal Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*