[Step-by-step mobilization with upwards transposition of the intestinal complex in total esophagoplasty using the right half of the large intestine]. / Poétapnaia mobilizatsiia s kranial'nym peremeshcheniem kishechnogo kompleksa pri total'noi ézofagoplastike iz pravoi poloviny tolstoi kishki.

An experience of performing total esophagoplasty with high esophagus strictures and 30 anatomo-experimental investigations on corpses enabled the authors to develop a new method of extraction of a transplant which was called a step-by-step mobilization with a displacement of the intestinal complex with fixation of the small intestine mesentery root to the posterior wall of the rectus abdominis sheath. The essence of the step-by-step mobilization with a displacement of the intestinal complex upwards is the following: if the first step of usual mobilization of the right half of the large intestine with a process of ileum proves to be not sufficient for making high anastomosis, the second step should be fulfilled consisting in mobilization of the small intestine mesenterium root which gives more opportunity to displace the large intestine transplant. If this measure still seems to be insufficient the third step is necessary such as a mobilization of the terminal portion of the duodenum. It allows the transplant to be made as high as the pharynx practically in all cases.

[Anatomical and surgical justification for selective catheterization of the thoracic lymphatic duct and thoracic arteries for infusion immunochemotherapy of breast cancer]. / Anatomo-khirurgicheskoe obosnovanie selektivnoi kateterizatsii grudnogo limfaticheskogo protoka i grudnykh arterii dlia infuzionnoi immunokhimioterapii raka molochnoi zhelezy.

An anatomo-topographic and operative study aimed at the elaboration of approaches and methods of the catheterization of the thoracic lympheduct and of the selective catheterization of the internal thoracic, external thoracic and acromiothoracic arteries for the regional infusion of activated proper lymphocytes and chemopreparations in breast cancer was carried out on 25 cadavers. An experimental injection of stained solutions proved that the selective catheterization of the thoracic arteries allows to create a significant concentration of injected drugs in the breast and regional lymphatic nodes without their propagation into adjacent regions, which is different from other methods of the regional chemotherapy in breast cancer.