SIMULTANEOUS INTRAPLEURALLY ESOPHAGOPLASTY WITH GASTRIC CANCER SPREAD TO THE ESOPHAGUS

Kavaykin Andrey Gennadyevich, Candidate of medical sciences, associate professor, Kovylkino Central Regional Hospital, Mordovia, kavaikin@mail.ru
Chichevatov Dmitriy Andreevich, Doctor of medical sciences, professor, head of sub-department of oncology and thoraco-abdominal surgery, Penza Institute of advanced medical studies, chda@pnz.ru

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The authors have analyzed treatment results of 25 single-step gastrectomies with resection of the esophagus performed on the occasion of stomach carcinomas extended to the distal esophagus. Median laparotomy with subsequent thoracotomy was executed in 21 cases. Four patients were operated by Ohsawa–Garlock ap-proach. The colon transplant was used for the digestive tract restoring in 8 patients, in 17 cases the researchers applied jejunoplasty. Postoperative morbidity rate was 44,0 %, the level of in-hospital mortality was 12,0 %. All cases of death were caused by transplant necrosis. The 1-year, 3- and 5-year survival rate of patients reached 46,7 ± 10,5 %, 23,3 ± 9,8 %, 11,7 ± 7,6 % respectively. Surgical interventions for the stomach carcinoma involving the distal esophagus is feasible, with acceptable mortality and long-term results.

stomach carcinoma, esophagoplasty.