S.I. BEBEZOV², M.V. BURMISTROV^1,2, E.I. SIGAL^1,2, T.L. SHARAPOV¹, , R.F. ENIKEEV¹, R.E. SIGAL¹,V.I. FEDOROV², R.A. KHAZIEV¹

¹Tatarstan Cancer Center, 29 Sibirskiy Trakt, Kazan, Russian Federation, 420029

²Kazan State Medical Academy, 36 Butlerov Str., Kazan, Russian Federation, 420012

 Bebezov S.I. — postgraduate student of the Department of Oncology, Radiology and Palliative Medicine, tel. +7-987-291-87-00, e-mail: suleiman.bebezov@gmail.com

Burmistrov M.V. — D. Med. Sc., Professor of the Department of Oncology, Radiology and Palliative Medicine, oncologist of the Thoracal Department №2, tel. (843) 519-27-38, е-mail: burma71@mail.ru

Sigal E.I. — D. Med. Sc., Professor of the Department of Oncology, Radiology and Palliative Medicine, Head of the Thoracal Department №2, tel. (843) 519-27-38, е-mail: sigal_e@mail.ru

Sharapov T.L. — Cand. Med. Sc., oncologist of the Thoracal Department №2, tel. +7-960-055-33-32, е-mail: toman86@mail.ru

Enikeev R.F. — Cand. Med. Sc., oncologist of the Department of Ambulatory Chemotherapy, tel. +7-927-402-73-90, е-mail: pf_ronc@mail.ru

Fedorov V.I. — oncologist, tel. +7-965-588-51-88, е-mail: valdamedmed@gmail.com

Sigal R.E. — oncologist, tel. +7-927-248-33-35, e-mail: Rodion_sigal@mail.ru

Khaziev R.A. — oncologist, tel. +7-937-523-29-79, е-mail: pf_ronc@mail.ru

Retrospective analysis of incidence of anastomotic leakage of esophagogastric anastomosis (EGA), the most frequent complication of surgical treatment of esophageal cancer, was done on 1321 patients during period from 1988 to 2015 based on the Esophageal and Gastric Surgery Department of Tatarstan Cancer Center. From 1988 to 2007 the percentage of anastomotic leakage of EGA increased from 11 to 45%, the average is 27%. Thanks to anatomical studies, we have proved that there are no anastomoses between right and left esophageal branches of inferior thyroid arteries. Therefore, it is necessary to preserve inferior thyroid arteries during mobilization of esophagus during extirpation for full blood supply of the remaining stump. We measured the blood supply of cervical part of esophagus during operation with pulsmotography. Preservation of the inferior thyroid artery; the use of atraumatic suture material; imposition of nodal sutures to form an anastomosis; optimization of anesthetic and postoperative management of patients; the use of intraoperative assessment of blood supply reduced the incidence of anastomotic leakage of EGA at the period from 2007 to 2015 up to 9.3%.

Key words: esophageal cancer, esophagogastric anastomosis, anastomotic leakage, esophagectomy, pulsmotography.

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