Methods of surgical treatment of esophagus cancer
DOI:
https://doi.org/10.15587/2313-8416.2015.39043Keywords:
esophageal cancer, anastomosis, esophagectomy, intrapleural plastics, andominal cervical accessAbstract
In this abstract are newly presented tactics for surgical treatment of esophageal cancer of mid-thoracic oesophagus and lower thoracic esophagus, benefits of usage of andominal cervical access for oesophageal plastics and extirpation. Developed methodology of transplant neostomy with maximal length allows to perform neostomy with cervical esophagus.
Objectives – to develop ways of improvement of treatment results for esophageal cancer, recommendations for preventing and correction of misaction and dangers, related to surgery as well as to find rationale methods and technical procedures which allow to decrease complication level.
Materials and methods. This method is based on diagnostic findings and treatment data of 9 patients with esophageal cancer undergoing surgery.
In all patients were collected lab samples for hematology test, chemistry test with protein fractions, test for electrolytes of blood plasma and urinalysis. Patients older 60 years old, with concomitant cardiovascular diseases, as well as minimally suspected congestive heart failure or coronary failure, were additionally undergoing echocardiography and exercise electrocardiography. All patients were undergoing biopsy for histological test.
CT scans were performed for all patients. For the purpose of definition of tumor developing and metastasis detection we perform ultrasonography.
Results. In this abstract are presented new methods of esophageal resection with usage of andominal cervical access for stomach intrapleural plastics and advanced methods for esophageal cancer surgery using original development and original tools.
Conclusion. Effectiveness of proposed new methods of esophageal resection with usage of andominal cervical access for stomach intrapleural plastics and advanced methods for esophageal cancer surgery using original development and original tools is proven.
Intrathoracic transplant, formed by described method, replaces enough the function of resected esophagus and in addition function of resected stomach. Total operating time was decreased to 2.5 – 3 hours
References
Berezov, Е. L. (1951). Esophageal surgery and gastric cardia surgery for cancer. Gorkii, 239.
Davydov, М. I., Stilidi, I. S. (2007). Esophageal cancer. Мoscow, 391.
Petrovskii, B. V. (1988) [Ways of development of reconstructive and reparative surgery]. Surgery, 6, 8–14. [in Russia]
Berezov, I. Е., Grigoriev, М. S. (1965). Esophageal surgery. Мoscow: Medicine, 364.
Vantsian, E. N., Toshchakov R. А. (1975). Reconstructive esophageal surgery using stomach. Tashkent, 111.
Vantsian, E. N. (1978). Surgical treatment of cardia cancer] Thoracic and cardiovascular surgery, 3, 87–92. [in Uzbekistan]
Miroshnikov, B. I., Labazanov, М. М., Pavelets, K. V. et. al. (1995). Method of formation of stomach transplantate for esophageal plastics. Bulletin of surgery, 2, 24–28. [in Russia]
Petrov, V. P., Rozhkov, А. G., Popandopulo, S. I. et. al. (1991). Morphofunctional characteristics of invaginative esophageal-stomach anastomosis and esophageal-intestinal anastomosis. Surgery, 3, 8–13. [in Russia]
Peterson, B. E. (1976). Surgical treatment of malignant tumors tumours. Мoscow: Medicine, 368.
Slobelkin, О. К., Brehov, E. I., Smolianinova, M. V. (1983). Usage of laser-based surgical equipment for esophageal plastics. Esophageal surgery (mistakes and danger). Мoscow, 25–26.
Chernousov, A. F., Ter-Avetikian, Z. А. (1987). Unaccomplished esophageal plastics. Surgery, 11, 35–40. [in Russia]
Peterson, B. E., Chissov, V. I., Mamontov , А. S. et. al. (1982). One-step cardia and esophagus resection for cancer with intracavity tardive neck anastomosis. Surgery, 5, 29–32. [in Russia]
Shalimov, А. А., Polupan, V. N. (1975). Atlas of esophageal, stomach and duodenal operation. Мoscow: Medicine, 304. [in Russia]
Ellis, F. Jr., Heatly, G., Krasna, M. et. al. (1997). Esophagogastrectomy for carcinoma of the esophagus and cardia: a comparison of findings and results after standard resection in three consecutive eight-years intervals with improved staging criteria. The Journal of Thoracic and Cardiovascular Surgery, 113 (5), 836–848. doi: 10.1016/s0022-5223(97)70256-3 [in Great Britain]
Orringes, M. B. (1987). Transthoracic versus transhiatal esophagectomy: What difference does it make? Ann. Surg, 44 (2), 112–118.
Stelzner, F. (1981). [Erfahrungen bei der Resection des Speiserohrenkrebses]. Zbl. Chir., 24, 894.
Mamontov, А. S., Boiko, А. V., Vereshchagin, V. G. Combined et. al. (2000). Treatment for thoracic esophageal cancer. Variety and results. High Tech in oncology: Materials of V All-Russian oncological congress, Kazan, 79–80. [in Russia]
Musulmanbekov, K. Zh. (1981). Combined treatment of esophageal cancer. Surgery, 4, 10–13. [in Russia]
Petrovskii, B. V. (1950). Surgical treatment of esophageal cancer and cardia. Мoscow: AMS of USSR Publishing, 172.
Rusakov, А. А. (1974). Esophageal cancer. Мoscow: Medicine, 248.
Chernousov, A. F., Korchak, А. М., Ter-Avetikian, Z. А. (1987). [Recurring esophageal plastics in reconstructive surgery]. Surgery, 1, 36–41. [in Russia]
Wong, J. (1989). Current status in diagnostic and therapy of esophageal carcinoma. Portschach, 13. [in USA]
Peterson, B. E. (1980). Esophageal tumors. In book: Oncology. Мoscow: Medicine, 244–257.
Chernousov, L. F., Silvestrov, V. S., Kurbanov, F. S. (1990). Esophageal plastics for esophageal cancer and nonmalignant strictures. Мoscow: Medicine, 142.
Dobromyslov, V. D. (1990). Case of part of esophagus dissection in thoracic esophagus using intrapleural access. Leningrad: Vrach, 115.
Iudin, S. S. (1954). Reconstructive esophageal surgery. Мoscow: Medgiz, 270.
Belousov, Е. V., Baitinger, F. F (1984). [Causes of failure of esophageal-intestinal neck anastomosis]. Surgery, 10, 76–79. [in Russia]
Shalimov, А. А., Saenko, V. F., Shalimov, S. A. (1975). Esophageal surgery. Мoscow: Medicine, 366.
Ganul, V. L., Kirkilevskii, S. I. (2003). Esophageal cancer. Кiev: Kniga plus, 200.
Veligotskii, N. N., Florikian, А. К., Teslenko, I. V. et. al. (1999). Surgical treatment of thoracic esophagus obstruction with tumor genesis. Clinical surgery, 8, 11–13. [in Ukraine]
Zherlov, G. K., Koshel, A. P., Kurtseitov, N. E., Karpovich, А. V. (2009). [Reconsrtuction of esophageal-intestinal anastomosis for patients undergoing gastroectomy for stomach cancer]. Siberian oncological journal. 2 (32), 10–14. [in Russia]
Pirogov, A. V., Pered, S. N., (1989). [Top-high levels of esophageal cancer resection for intrathoracic or neck esophageal-stomach anastomosis]. Thoracic surgery, 2, 65–70. [in Russia]
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Григорий Николаевич Урсол
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
