Methods of surgical treatment of esophagus cancer
Keywords:esophageal cancer, anastomosis, esophagectomy, intrapleural plastics, andominal cervical access
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
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