Year 2011 Vol. 19 No 5

LECTURES, REVIEWS

V.T. MALKEVICH, I.A. ILYIN

PLACE OF COLONIC ESOPHAGOPLASTY IN SURGICAL TREATMENT OF ESOPHAGEAL CANCER

The article is dedicated to the urgent problem of oncology, namely, reconstructive surgical treatment of esophageal cancer. Historical review of the colonic esophagoplasty is presented. The anatomical conditions of esophagoplasty are shown. A diverse range of operational approaches is determined. Past experience shows that the number of patients in a deficit of plastic material needs to be reconstructed, where the intestine transplant will act as the plastic material.
The modern trend of reconstructive surgery of esophageal cancer is on the way of intraoperative prophylaxis and prevention of ischemic complications. Recently, in connection with the development of microsurgical techniques various options for revascularization of the graft by applying a microvascular anastomosis between the crossed vessels of the graft and donor vessels have been developed, which permits to create an additional source of blood supply and to ensure the adequate circulation.

Keywords: esophageal cancer, esophagoplasty, colonic graft, revascularization
p. 118 – 127 of the original issue
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