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  • Title: [Prevention of errors and complications in formation of esophageal layer-by-layer apparatus anastomosis].
    Author: Gibradze OT, Gurgenidze MM, Bakuradze GB, Tevtoradze DI, Samsoniia MD.
    Journal: Georgian Med News; 2010 Sep; (186):7-13. PubMed ID: 20972268.
    Abstract:
    The aim of the research is to analyze the outcome of treatment of patients with cardioesophageal cancer. Subtotal resection of esophagus with gastrectomy was performed on 3 patients. On 9 patients the resection of esophagus with gastrectomy from left thoracophrenolaparotomy was performed. Gastrectomy with resection of abdominal part of esophagus was performed on 10 patients. Transhiatal mediastinal lymphadenectomy S2D2 was carried out in all cases. The esophageal anastomosis has been formed by circular apparatus EEA and SPTU. The functional condition of anastomosis was investigated by X-ray, endoscopical and endo-sonographical methods in the postoperative period. The complications caused by technical errors of esophageal anastomosis were reviewed. The regeneration of circular anastomosis depends of adequate blood supply of anastomosis, observance of safety rules of imposing circular anastomosis. Reasonable application of circular apparatus, the refined technics of imposing anastomosis, X-ray, endoscopical and endo- sonographical research methods decrease complications and promote recovery.
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