METHOD OF VIDEOTHORACOSCOPIC ESOPHAGECTOMY WITH SIMULTANEOUS VIDEOLAPAROSCOPIC ESOPHAGOGASTROPLASTY

摘要

FIELD: medicine. ^ SUBSTANCE: invention relates to field of medicine, namely to endosurgery and is intended for application in oncology in case of cancer and achalasia of esophagus. Essence of method lies in mobilisation of esophagus, stomach and formation of tunnel graft. Mobilisation of esophagus is realised without its transaction. Simultaneously lymph nodes of posterior mediastenum are ablated. Affected part of esophagus and cardial part of stomach are cut off. Further mobilisation of part of stomach is performed on its greater curvature, starting with the level of the middle third of transverse colon and up to its bottom. It is brought out onto abdominal wall and 4-5 cm wide isoperistaltic tunnel graft is cut out from the greater curvature of stomach. Muscles of pylorus are cut transversally on the minor curvature. Dissected surfaces are sewn together with displacement along the edges in such a way that their ends do not coincide but only contact with each other with their external edges. On the neck end-to-end anastomosis between esophagus and transplant is formed. ^ EFFECT: application of claimed invention makes it possible to ensure venous outflow and improve viability of formed tunnel graft, reduce the pressure inside transplant in early post-operation period and ensure fast and strong healing of esophagogastroanastomosis with further recovery of pylorus function.