[The choice of esophagoenteroanastomosis after gastrectomy].
The two years (2004--2006) experience of gastric cancer surgical treatment is analized and summarized. 137 had gastrectomy, 73 patients had a combined operation because of the extent of the disease. Overall morbidity rate was 19.7%, leathality--4,4%. Though, lethality in the group of radically operated patients was 0,9%, whereas for those, who could have only palliative surgery, it totaled 25%. It is established, that performing a Gilyarovitch esophagoenteroanastomosis allows to avoid its failure. Gastrectomy with a phrenic segment esophagus resection is not a contraindication for the Gilyarovitch esophagoenteroanastomosis. The method of small intestine mesentery extension is described. It allows to perform a loop anastomosis at the level of phrenic and retropericardial esophageal segments. Indications for Roux esophagoenteroanastomosis are worked out.
Polikarpov
S A
SA
Lisitskiĭ
A N
AN
Goriunov
I V
IV
Suleĭmanov
M U
MU
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome