D.R. SABIROV¹^,2

¹Tashkent Medical Academy, 4 Zielilar St., Tashkent, Republic of Uzbekistan, 100170

²National Cancer Research Center of the Ministry of Health of the Republic of Uzbekistan, 383 Farabi St., Shayhantaursky district, Tashkent, Republic of Uzbekistan, 100174

Sabirov D.R. — Head of the Military Medical Faculty at the Tashkent Medical Academy, tel. +998901298777, e-mail: mr.yusupov85@mail.ru

The article presents the outcome analysis of 127 operations in esophagus and cardioesophageal zone, made from 2001 to 2013. Patients were divided into two groups: control (53 patients) — mobilization of the thoracic esophagus, performed by traditional techniques; and 74 patients — mediastinal stage of the operation is executed with the use of endosurgical tools. Interventions were made during the localization of the process at the level of the mid-lower thoracic segment. An assessment of the effectiveness of the procedure was carried out according to the time spent on the intervention, blood loss, the number of bed-days, and the frequency of pulmonary complications. In the control group the intervention took 363±20 min, in the main — 303±20 min. The volume of intraoperative blood loss in the control group was 578,2ml, in the main 361±25 ml (p<0.05). Decrease in the frequency of pulmonary complications from 10.5 to 3.4%, and bed-days from 22,2±2,1 days to 18,4±2,1 was noted. Thus, the advantage of minimally invasive technique was low incidence of trauma, good visualization, early recovery of lung function, decrease in the number of postoperative complications.

Key words: esophageal cancer, cardioesophageal zone, transhiatal esophagectomy, minimally invasive technique, reconstructive and reparative surgery.

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