Assuntos
Adenocarcinoma , Colectomia/métodos , Colo Sigmoide , Histerectomia Vaginal/métodos , Neoplasias Ovarianas , Ovariectomia/métodos , Neoplasias do Colo Sigmoide , Adenocarcinoma/patologia , Adenocarcinoma/secundário , Adenocarcinoma/cirurgia , Adulto , Colo Sigmoide/patologia , Colo Sigmoide/cirurgia , Feminino , Humanos , Laparoscopia/métodos , Invasividade Neoplásica , Estadiamento de Neoplasias , Neoplasias Ovarianas/secundário , Neoplasias Ovarianas/cirurgia , Neoplasias do Colo Sigmoide/patologia , Neoplasias do Colo Sigmoide/cirurgia , Sigmoidoscopia/métodos , Resultado do TratamentoRESUMO
The main cause of lethal outcomes after operations on the oesophagus and cardia remains failure of esophageal anastomosis. The lack of substantial positive changes in prophylaxis and especially in treatment of this complication is explained by etiological approach to this problem. Pathogenesis of the failure is determined by the only trigger--penetration of infection into the tissues of anastomotic area. The authors have developed and introduced into practice the method and the device to influence the basic link of the pathogenesis. The application of the method of permanent irrigation and sealing of the esophageal anastomosis line in treatment of 917 patients made it possible to cut down lethal outcomes from insufficiency of esophageal anastomosis to 0.1%.
