Videolaparoscopic transchiatal extirpation of the esophagus in locally advanced cancer of the esophagus and cardio-esophageal junction
Т. V. Khorobrykh,
V. G. Agadzhanov,
R. E. Salikhov,
N. P. Mishchenko,
A. A. Spartak,
A. S. Andriyanov https://doi.org/10.17238/2072-3180-2022-1-84-89
Abstract
Introduction. Esophageal cancer is one of the most unfavorable diseases of the digestive tract, with a high mortality rate.
Te purpose of the study. Te purpose of this work is to increase the effectiveness of surgical treatment of patients with locally advanced forms of esophageal cancer complicated by tumor stenosis and bleeding due to the rational use of minimally invasive technologies at the stage of surgical treatment.
Materials and methods of research. As part of the combined treatment, 2 patients with locally advanced forms of esophageal cancer and cardioesophageal junction were operated on.
Treatment results. Te experience of using laparoscopically assisted transchiatal extirpation of the esophagus in locally advanced esophageal cancer and cardioesophageal transition in two patients with severe concomitant diseases is described. Te possibility of performing operations in patients with locally advanced esophageal cancer and cardio-esophageal transition with subcompensated concomitant diseases is demonstrated, including through a rational combination of laparoscopic technologies and minilaparotomic access.
Conclusion. Endovideosurgically assisted operations are safe and feasible in patients with locally advanced forms of esophageal cancer and cardioesophageal junction, including through the rational use of the possibilities of mini-access. Te endovideosurgically assisted manual makes it possible to expand the indications for surgical treatment in comorbid patients
About the Authors
Т. V. Khorobrykh
Moscow State Medical University of the Ministry of health of the Russia
Russian Federation
Russian Federation
Тatiana V. Khorobrykh, – Doctor of Medicine, Professor of Russian
Academy of Sciences, Professor and Head at the Department of Faculty Surgery №2
119991, Trubetskaya str., 8, build. 2
V. G. Agadzhanov
Moscow State Medical University of the Ministry of health of the Russia
Russian Federation
Russian Federation
Vadim G.Agadzhanov* – PhD in Medicine, Associate professor at
the Department of Faculty surgery №2
119991, Trubetskaya str., 8, build. 2, Moscow
R. E. Salikhov
Moscow State Medical University of the Ministry of health of the Russia
Russian Federation
Russian Federation
Rashad E. Salikhov – Postgraduate at the Department of Faculty
surgery №2
119991, Trubetskaya str., 8, build. 2
N. P. Mishchenko
Moscow State Medical University of the Ministry of health of the Russia
Russian Federation
Russian Federation
Natalia P. Mishchenko – Postgraduate at the Department of Faculty
surgery №2
119991, Trubetskaya str., 8, build. 2
A. A. Spartak
Moscow State Medical University of the Ministry of health of the Russia
Russian Federation
Russian Federation
Alexei. A. Spartak – Postgraduate at the Department of Faculty
surgery №2
119991, Trubetskaya str., 8, build. 2, Moscow
A. S. Andriyanov
Moscow State Medical University of the Ministry of health of the Russia
Russian Federation
Russian Federation
Andrey.S Andriyanov – Postgraduate at the Department of Faculty
surgery №2
119991, Trubetskaya str., 8, build. 2, Moscow
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Review
For citations:
Khorobrykh Т.V., Agadzhanov V.G., Salikhov R.E., Mishchenko N.P., Spartak A.A., Andriyanov A.S. Videolaparoscopic transchiatal extirpation of the esophagus in locally advanced cancer of the esophagus and cardio-esophageal junction. Moscow Surgical Journal. 2022;(1):84-89. (In Russ.) https://doi.org/10.17238/2072-3180-2022-1-84-89
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