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Khirurgii

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Year 2020 Vol. 28 No 6

REVIEWS

A.L. SHESTAKOV 1, A.A. BEZALTYNNYKH 2, D.V. NAREZKIN 2, A.V. SERGEEV 2, M.E. SHAKHBANOV 1, 3, I.M. TADZHIBOVA 1, T.V. PETROSYAN 1, A.G. ABDULLAEV 3, I.A. TARASOVA 1, 3, A.V. BABICH 2

CURRENT STATE OF THORACOSCOPIC SURGERY FOR BENIGN ESOPHAGEAL DISEASES

B.V.Petrovsky National Research Centre of Surgery 1, Moscow,
Smolensk State Medical University 2, Smolensk,
I.M. Sechenov First Moscow State Medical University (Sechenov University) 3, Moscow,
The Russian Federation

An analytical review of the literature on minimally invasive video-assisted endoscopic surgery for benign esophageal diseases is presented. A brief historical information of thoracoscopic esophageal surgery is given. It is noted that the advantages of video-assisted endoscopic technologies make possible to shorten the duration of treatment, reduce the rate of morbidity and mortality, which is the basis for the widespread implementation into surgical practice. The relevance of this problem was emphasized, in particular it was found that the use of thoracoscopic access for true diverticula of the thoracic esophagus is associated with minimal tissue trauma, however, with the high risk of developing specific complications. Technical aspects of surgical interventions for these diseases require the careful study. A comparative study of thoracoscopic and laparoscopic approaches during Geller’s operation for cardiac achalasia showed the advantages of the latter. Furthermore the indications for minimally invasive resection of benign esophageal tumors performed from a thoracoscopic approach should have an absolute character with assessment of risk/benefit ratios. The authors conclude that the use of minimally invasive surgical technologies in the treatment of benign esophageal diseases is promising, but the safety, clinical effectiveness and economic feasibility require further analysis.

Keywords: thoracoscopy, esophageal diverticulum, achalasia, esophagectomy
p. 730-738 of the original issue
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Address for correspondence:
241019, Russian Federation,
Smolensk, Krupskaja Str., 28,
Smolensk State Medical University,
the Hospital Surgery Departmentr,
tel. +7 915 645-15-04,
e-mail: bezaltyna@yahoo.com,
Bezaltynnykh Alexander A.
Information about the authors:
Shestakov Alexey L., MD, Head of the Department of Thoracoabdominal Surgery and Oncology, Russian Scientific Center for Surgery named after acad. B.V. Petrovsky,Moscow, Russian Federation, Moscow, Russian Federation.
http://orcid.org/0000-0003-3387-7442
Bezaltynnykh Alexander A., PhD, Associate Professor, the Hospital Surgery Department, Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0001-5629-1538
Narezkin Dmitry V., MD, Professor, Head of the Hospital Surgery Department , Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0003-2710-1728
Sergeev Alexey V., PhD, Associate Professor, the Hospital Surgery Department, Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0002-0437-9551
Shakhbanov Magomed E., Post-Graduate Student, the Department of Thoracic-Abdominal Surgery and Oncolody, Russian Scientific Center for Surgery named after acad. B.V. Petrovsky, Moscow, Russian Federation, Moscow, Russian Federation.
http://orcid.org/0000-0001-9522-9251
Tadzhibova Ireykhan M., Post-Graduate Student, the Department of Thoracic-Abdominal Surgery and Oncolody, B.V.Petrovsky National Research Centre of Surgery, Moscow, Russian Federation.
http://orcid.org/0000-0003-2076-5302
Petrosyan Tatyana V., Post-Graduate Student, the Department of Thoracic-Abdominal Surgery and Oncolody, Russian Scientific Center for Surgery named after acad. B.V. Petrovsky, Moscow, Russian Federation, Moscow, Russian Federation.
http://orcid.org/
Abdullaev Abdulla G., MD, Professor of the Hospital Surgery Department, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
http://orcid.org/0000-0002-4264-4483
Tarasova Irina A., PhD, Assistant of the Hospital Surgery Department, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
http://orcid.org/0000-0001-9344-7351
Babich Andrey V., Student, Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0001-6269-6283
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