[Extracavitary esophageal end-to-side anastomosis in esophagoplasty with a tube formed from the greater curvature of the stomach]. / Vnepolostnoi pishchevodnyi anastomoz konets v bok pri ézofagoplastike trubkoi iz bol'shoi krivizny zheludka.

The article discusses information on experience in the formation of 367 extracavitary esophageal anastomoses in esophagoplasty with a tube formed from the greater curvature of the stomach in malignant esophageal tumors. Four main types of anastomosis were encountered: oblique--142, end to end--101, end to side--91, and atypical--33. Various complications occurred in 40.3% of patients, in end to side anastomosis in 26.3% of cases. The authors discuss in detail the operative techniques and the indications for this type of anastomosis. The authors consider it preferable to form the extracavitary esophagogastric anastomosis on the posterior wall of the transplant with a decompression stoma.

[Results of simultaneous resection and plastic surgery of the esophagus with extra-cavitary cervical esophagostomy in esophageal cancer in its thoracic part]. / Rezul'taty odnomomentnoi rezektsii i plastiki pishchevodas vnepolostnymanastomozom na shee pri rake grudnogo otdela pishchevoda.

The work analyses the results of one-stage resection and plastics of the esophagus with a tube formed from the greater curvature of the stomach and creation of an ++extra-cavitary anastomosis on the neck in combined and surgical treatment of carcinoma of the thoracic esophagus in 279 patients. Various complications occurred in 181 (64.8%) patients. The mortality was 19.3% (16.8% among patients who underwent radical operation and 25.6% among those treated by a palliative operation). The number of complications in the groups of surgical and combined treatment was approximately equal. The results of 5-year survival were better in the group with combined treatment. Postponed + extra-cavitary anastomosis was formed in 65.2% of cases. One-stage resection and plastics of the esophagus with ++extra-cavitary anastomosis is an adequate operation from the oncological standpoint in the treatment of carcinoma of the thoracic esophagus. Its further perfection is necessary for improvement of the immediate and late-term results of treatment.

[The effect of preoperative radiation therapy on the results of the combined treatment of esophageal cancer]. / Vliianie preoperatsionnoi luchevoi terapii na rezul'taty kombinirovannogo lecheniia raka pishchevoda.

The authors resorted to multifactor comparative analysis of the results of surgical (218) and combined (413) treatment of patients with thoracic esophageal cancer to study the interrelationship of the main factors, determining a cancer stage, their prognostic value, and a degree of influence of preoperative modalities on these factors. Preoperative irradiation was shown to increase resectability of the esophagus with tumor extent over 5 cm and to improve the prognosis of disease.

[Metastasis as a prognostic factor in cancer of the thoracic segment of the esophagus]. / Metastazirovanie kak faktor prognoza pri rake grudnogo otdela pishchevoda.

Prognostic value of metastases is analyzed on the basis of the results of surgical and combined treatment of 631 cases with carcinoma of the thoracic portion of the esophagus. The metastasizing factor was found to correlate with the depth of the tumor invasion and size. The presence of metastases reduces the possibility of radical operations and lowers the index of 5-year survival.

[Combined treatment of cancer of the thoracic segment of the esophagus]. / Kombinirovannoe lechenie raka grudnogo otdela pishchevoda.

The results of an analysis of combined treatment of 391 cases of carcinoma of the thoracic segment of the esophagus are presented. Three stages of treatment--abdominal, radiation and surgical--are discussed.