title: [Delayed coloesophagoplasty in difficult clinical situations].
abstract: OBJECTIVE
  To improve immediate and long-term results of delayed coloesophagoplasty in cancer patients.
  
  
  METHODS
  We presented three case reports of coloesophagoplasty in difficult clinical situations including technical impossibility of primary plasty, extraordinary anesthetic situation, transplant necrosis after primary plasty.
  
  
  RESULTS
  Gastrointestinal tract integrity was restored in all cases and patients returned to nutrition per os, that provided good quality of life and compensated nutritional deficiencies. Only one patient had bleeding in postoperative period that required relaparotomy. There were no postoperative complications in two other patients.
  
  
  CONCLUSIONS
  Delayed coloesophagoplasty should be performed in all patients who underwent esophagogastrectomy if progression of primary disease is absent. Graft placement and colic segment are chosen individually. However left half of colon with retrosternal location of transplant is preferable for plasty.
authors.affiliation: Department of Thoracoabdominal Cancer Surgery of P.A. Gertsen Moscow Research Oncology Institute, Health Ministry of the Russian Federation.
authors.forename: A B
authors.initials: AB
authors.lastname: Riabov
authors.affiliation: Thoracoabdominal Surgical Department of P.A. Gertsen Moscow Research Oncology Institute, Health Ministry of the Russian Federation.
authors.forename: V M
authors.initials: VM
authors.lastname: Khomiakov
authors.affiliation: Thoracoabdominal Surgical Department of P.A. Gertsen Moscow Research Oncology Institute, Health Ministry of the Russian Federation.
authors.forename: I V
authors.initials: IV
authors.lastname: Kolobaev
authors.affiliation: Thoracoabdominal Surgical Department of P.A. Gertsen Moscow Research Oncology Institute, Health Ministry of the Russian Federation.
authors.forename: V V
authors.initials: VV
authors.lastname: Cheremisov
authors.affiliation: Thoracoabdominal Surgical Department of P.A. Gertsen Moscow Research Oncology Institute, Health Ministry of the Russian Federation.
authors.forename: A D
authors.initials: AD
authors.lastname: Ermoshina
authors.affiliation: Department of Microsurgery of P.A. Gertsen Moscow Research Oncology Institute, Health Ministry of the Russian Federation.
authors.forename: M V
authors.initials: MV
authors.lastname: Ratushnyĭ
mesh_terms: D003106:Colon / Q000637:transplantation*; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D059035:Perioperative Period / Q000379:methods / Q000534:rehabilitation; D011183:Postoperative Complications / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome