Gastrostomy and esophagoplasty with a pedicle graft from the greater curvature of the stomach as stages in surgical and combined treatment of cancer of the thoracic esophagus
Pirogov, A.I.; Mamontov, A.S.; Kharchenko, V.P.; Ryndin, V.D.
Vestnik Khirurgii Imeni I. I. Grekova 122(5): 18-22
1979
ISSN/ISBN: 0042-4625 PMID: 452266 Document Number: 150847
Not infrequently cancer of the middle and lower thirds of the esophagus metastasizes into the subfrenic lymph nodes, which justifies a revisional laparotomy for completing the diagnosis of the tumor process spreading. A peduncular gastrostomy is carried out at the revisional laparotomy. A one-stage operation of extirpation and plasty of the esophagus with a stomach tube, housed in the bed of ablated esophagus, involves a great risk and is followed by a high fatality rate.