Kharkiv Surgical School最新文献

{"title":"MINIMALLY INVASIVE ENDOSURGICAL INTERVENTIONS IN THE TREATMENT OF ACUTE OBSTRUCTIVE OBSTRUCTION OF THE COLON","authors":"V. Boyko, V. Groma, A. Moiseyenko, Yu. A. Moiseyenko","doi":"10.37699/2308-7005.1-2.2023.14","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.14","url":null,"abstract":"Summary. The aim of the study. To evaluate the effectiveness of the treatment of patients with acute obstructive obstruction of the large intestine with the predominant use of minimally invasive intervention of colorectal stenting. \u0000Materials and methods. An analysis of the treatment of 218 patients with obturation of the large intestine was carried out. The average age of the patients was 68.5±7.9 years. The age of all patients ranged from 43 to 79 years. \u0000Results and discussion. The result of the installation of colorectal stents was the restoration of intestinal patency in 51 (98.1 %) patients. Radical surgical interventions were performed on the patients after copying the phenomena of acute obstructive obstruction of the large intestine and compensation of cardiac pathology. \u0000Conclusions. The use of colorectal stenting in the treatment of acute obstructive obstruction of the large intestine allows to achieve a reduction in postoperative mortality and the number of complications, as well as to significantly reduce the postoperative bed-day.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115393370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ETIOLOGY AND PATHOMORPHOLOGY OF DIVERTICULAR DISEASE OF THE COLON","authors":"V. Shaprynskyi, V. Taheiev, O. Urvan","doi":"10.37699/2308-7005.1-2.2023.11","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.11","url":null,"abstract":"Summary. The purpose of the work. The investigation of the pathomorphological changes of the large intestine in diverticular disease and their causes. \u0000Materials and methods. In accordance with the task, we investigated the pathomorphological changes of the colon in diverticular disease and the causes of their occurrence, using pathohistological preparations of 17 patients who were treated at the Clinical Highly Specialized Surgical Center with Minimally Invasive Technologies at the Municipal Non-Conmercial Enterprise «Vinnytsia Regional Clinical Hospital named after M. I. Pyrogova» of the Vinnytsia Regional Council. \u0000Research results and their discussion. We examined the pathohistological preparations of 17 patients operated for diverticular disease of the colon at the Clinical Highly Specialised Surgical Center with Minimally Invasive Technologies at the Vinnytsia Regional Clinical Hospital named after M. I. Pirogov of the Vinnytsia Regional Council. Studies have shown that one of the morphological criteria for the development of a diverticulum was a change in the muscular elements of the mucous and muscular membranes. Electron microscopy results confirmed that the wall of the colon in diverticulosis contains structurally normal muscle cells, but contains twice as much elastin, located between the muscle cells in the tenia, which is in a shortened form and probably causes the shortening of the tenia and, as a result, the convergence of the circular muscles. This leads to an increase in haustration, an increase in the spastic readiness of the intestine, which causes the mucous and submucosal membranes to loosen in weak areas.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116838523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PROSPECTS FOR THE USE OF MINI-INVASIVE TECHNOLOGIES IN THE SURGICAL TREATMENT OF RECTAL FISTULAS","authors":"T. Firsyk","doi":"10.37699/2308-7005.1-2.2023.12","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.12","url":null,"abstract":"Summary. The search for the optimal method of surgical treatment of fistulas of the rectum is an important issue of modern surgery. The main complications after operations are the recurrence of the disease and anal incontinence. The reasons for such complications are not only the incorrect choice of the surgical technique, but also technical errors in their implementation. The proposed methods of surgical interventions are characterized by a combination of radical excision of the fistula tract and minimal impact on the anal sphincter. \u0000Objective. To analyze the results of surgical treatment of rectal fistulas using minimally invasive technologies and to determine the prospects of their use. \u0000Materials and methods. The study consisted retro- and prospective analysis of surgical treatment of patients with various types of rectal fistulae. The advantages of using minimally invasive methods (the modified method LIFT and excision anal fistulas with biowelding) were revealed. \u0000Results. The use of the proposed methods demonstrated high efficiency and reduced rates of postoperative complications. \u0000Conclusions. The effectiveness of the techniques consists in the minimal damaging effect on the muscle structures of the anal complex. This reduces the risk of insufficiency of the anal sphincter in the postoperative period. The use of minimally invasive techniques reduce the duration of surgery, the number of hospital days, and the overall wound healing time.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129573440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LICHTENSTEIN, TAPP, AND TEP: COMPARATIVE ASSESSMENT OF POSTOPERATIVE PAIN INTENSITY","authors":"I. Bulyk, V. P. Shkaraban, S. Vasyliuk, S. M. Huculiak, V. S. Hudyvok, V. Osadets, V. Ivanyna","doi":"10.37699/2308-7005.1-2.2023.02","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.02","url":null,"abstract":"Summary. One of the indicators of choosing a method of inguinal hernia repair is the intensity of the pain syndrome. Intense postoperative pain causes discomfort in the patient, prolongs the period of physical rehabilitation and the patient’s stay in the hospital. \u0000The aim of the study. To evaluate the intensity of postoperative pain syndrome in patients who used different methods of inguinal hernia repair: Lichtenstein, TAPP and TEP. \u0000Research materials and methods. We performed inguinal hernia repair in 211 patients. Lichtenstein repair was performed in 65 of them (Lichtenstein group), TAPP in 81 patients (TAPP group), and TEP in 65 (TEP group). Hernia repair was carried out according to generally accepted techniques described in the literature. The patients of all groups had a standard analgesia scheme. The pain syndrome was assessed using the Visual Analogue psychometric scale. \u0000Research results and their discussion. In the Lichtenstein group, the pain index on the first postoperative day was 5.09±1.66. On the third day, it decreased significantly (p<0.05) (r=0.28) and was 1.76±1.01. In the TAPP group, on the first postoperative day, patients rated their pain syndrome as 5.17±1.67. From the third postoperative day, the pain index decreased significantly (p<0.001) (r=0.42) and was 1.80±0.85. In the TEP group, there was a decrease in the pain syndrome index from 5.67±1.58 on the first postoperative day to 2.38±0.84 (3 days), but it was not reliable and had a weak correlation. \u0000Conclusions. On the first postoperative day, the most uncomfortable procedure was the TEP technique. The VAS score in this group was improbably the highest compared to the Lichtenstein and TAPP groups. On the third postoperative day, there was a probable decrease in pain syndrome in the Lichtenstein and TAPP groups, and an improbable decrease in the TEP group.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131503944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH RECTUS ABDOMINIS DIASTASIS","authors":"K. L. Gaft, V. V. Tsiliurik","doi":"10.37699/2308-7005.1-2.2023.04","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.04","url":null,"abstract":"Summary. Introduction. The experience of treating 88 patients with rectus abdominis diastasis and rectus abdominis diastasis in combination with anterior abdominal wall hernias is presented. The effectiveness of various types of laparoscopic and traditional surgical interventions have been studied. \u0000Aim. Optimization of surgical treatment of patients with rectus abdominis diastasis by developing and implementing new various types of laparoscopic interventions. \u0000Materials and methods. All 88 patients were divided into 2 groups. The main group consisted of 43 patients (26 women and 17 men), the comparison group – 45 (19 men and 26 women). In the comparison group, patients underwent surgical interventions using traditional methods: autoplasty according to Sapezhko – 2; Autoplasty according to Napalkov – 10; Alloplasty according to the “inlay” type – 23; Allogernioplasty according to the “Subllay” type – 10. In the main group, patients underwent surgical interventions using purely laparoscopic methods in the volume: rectomuscularography according to the “Total Endoclose” type – 7; operation “ Irom “with fixation of the prosthesis according to the type” Total Ergoclose” – 20; operation “Irom “+ rectomuscularography with fixation of the prosthesis according to the type “Total Ergoclose” – 13; operation “E-TEP”according to the river-Stoppa method with fixation of the prosthesis according to the type” Total Ergoclose” – 1. \u0000Research results and their discussion. The effectiveness of operations was evaluated basing on the quality and rate of formation of muscle duplication, or reticular-fibrous complex on the site of diastasis, by measuring the thickness of the anterior abdominal wall using ultrasound at three levels: in the epigastric zone – approximately 7 cm. above the navel, or along the upper edge of the mesh graft fixation; 2 cm above the navel, or along the conditional center of the mesh graft; 2 cm below the navel, or along the lower edge of the mesh graft fixation. Studies in each zone were performed three times: on the 5th day, 1 month later, and 6 months after surgery. \u0000Conclusions. The formation of a mesh-fibrous complex, or muscle duplication, during open operations lasts much longer than during laparoscopic interventions. In the main group, a month later, ultrasound data shows almost complete restoration of the natural anatomy of the abdominal wall, and 6 months after surgery, the difference between the thickness of the anterior abdominal wall in the main group and the comparison group is 3 times.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128596182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MODERN APPROACH TO INGUINAL HERNIA SURGERY","authors":"V. P. Shkaraban, I. Bulyk, S. Vasyliuk, O. Prudnikov, I. R. Labyak, S. V. Bitska, N. Pavliuk","doi":"10.37699/2308-7005.1-2.2023.31","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.31","url":null,"abstract":"Summary. The article analyzes modern clinical guidelines for the repair of inguinal hernias. In 2018, the Hernia Surge Group published clinical guidelines for inguinal hernia repair. Experts evaluated the effectiveness, advantages and disadvantages of many currently known methods of hernia repair, and with a high level of evidence recommended choosing two open (Shouldice and Lichtenstein) and two laparoscopic techniques (TAPP and TER). The Shouldice operation is considered the best if it is decided to choose inguinal hernia repair without a mesh. However, modern trends in the repair of inguinal hernias still lean toward tension-free techniques, regardless of the age and gender of the patient. Even in young men with various types of hernias, it is recommended to use a prolene mesh, which reduces the risk of recurrence without impairing sexual function and fertility indicators. The Lichtenstein repair is the standard for open (anterior) inguinal hernia repair. In endoscopic TAPP and TEP repairs, the mesh is inserted into the preperitoneal space, but the techniques differ in access to this space. Due to technical complexity and high cost, laparoscopic and endoscopic repair of inguinal hernias is primarily recommended for recurrent and bilateral hernias, as well as for comorbid operations. Both TAPP and TEP have different and rare but serious complications. The 2018 EHS guidelines recommend open (Lichtenstein) and endoscopic (TEP/TAPP) as equivalent and evidence-based options for primary unilateral inguinal hernia repair.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"44 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130462334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE ROLE OF THE COMPUTER TOMOGRAPHY IN STAGING AND SURGICAL TREATMENT OF LOCALY DISTRIBUTED STOMACH CANCER","authors":"V. Boiko, V. Lazirskiy, I. V. Krivorotko, A. L. Veseliy","doi":"10.37699/2308-7005.1-2.2023.15","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.15","url":null,"abstract":"Summary. Aim. Improvement of algorithm of diagnostics of patients with complicated stomach cancer. \u0000Materials and methods. It was shown the analysis of results of surgical treatment of 418 patients with complicated stomach cancer, which got the hospital treatment at GI “V. T. Zaycev Institute of General and Urgent Surgery of NAMS of Ukraine “ from 2010 till 2019, aged 29 till 76. \u0000Results. Patients were exanimated with using of combination of instrumental methods. Goal is total detail examination of pathologic process. SCT has precision of 95-97 % at detecting of cancer, definition of stage – 77-80 %. Endoscopy allows to define the location, spreading of process, to find a pathologic process at starting and precancer stages. There no any ideal oncomarker. Diagnostic precision of CA 72-4 is 28-80 % (40-46 % on the average). According to international guides [5], all patients were performed the diagnostic laparoscopy with researching of washout liquids of abdomen in uncertain cases. \u0000Conclusion. Only complex examination of patients with stomach cancer with using combination of SCT of abdomen, FEGDS with biopsy, laparoscopy can provide total volume of examination, staging and surgical aid.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116058285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MODERN ASPECTS OF MINIMIZING POSTOPERATIVE COMPLICATION PANKREATODUODENAL RESECTIONS FOR OBSTRUCTIVE DISEASES PANCREATICODUODENAL ZONE","authors":"B. Zaporozhchenko, V. N. Kachanov, I. E. Brodaev, O. A. Vaselev, G. T. Ismailov, V. V. Kolodiĭ, A. Sharapova","doi":"10.37699/2308-7005.1-2.2023.09","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.09","url":null,"abstract":"Summary. The aim of the study. Pancreatoduodenal resection (PDR) is one of the most traumatic cases, and in the post-operative period, patients can develop complications, which often lead to poor results of surgical excision. The rate of postoperative mortality in patients who have undergone PDR is 5 to 10 %, and postoperative complication is blamed on 20-60 %. \u0000The method of this work led to the development of complications, clinical indications in the rehabilitation of ailments in the early post-operative period, as a result of which various surgical technologies were introduced to the PDR. \u0000Materials and methods. In 151 ailing viconan pancreaticoduodenal resections (PDR) due to cancer of the glans subscapularis 83 (58.8 %), cancer of the periampullary zone 40 (28.4 %) and chronic pseudotumorous pancreatitis 18 (12.8 %) patients. \u0000Results and discussion. The technique of molding pancreatojejunostomy at the stage of PDR has been developed to ensure a decrease in the total number of complications in patients with terminal lateral anastomosis according to Whipple, as well as terminological equipment according to Shalimov-Kopchak. The number of ailments with complications is decreasing: termino-lateral according to Whipple pancreatojejunoanastomosis (59.4 %), termino-terminal according to Shalimov-Kopchak (58.3 %), according to the method of our clinic (30.8 %), pancreatogastroanastomosis (24.3 % ). with isolation of sutured ducts 22.6 ( %). \u0000Conclusions. We have developed methods for forming pancreatico-juvenile anastomosis at the end of the last stage of PDR to ensure a decrease in the total number of complications in patients with traditional thermolateral overlays after Whipple, as well as termoterminal anastomosis after Shalimovim-Kopchak, up to 52.6 % in 22,6 %.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114267024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OUR EXPERIENCE OF SURGICAL TREATMENT OF VICTIMS WITH FRAGMENTARY GUNSHOT WOUNDS OF THE DUODENUM","authors":"K. Parkhomenko, A. Drozdova, K. Y. Payunov, K. A. Prokopenko","doi":"10.37699/2308-7005.1-2.2023.29","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.29","url":null,"abstract":"Summary. Introduction. One of the most serious gunshot wounds among the organs of the abdominal cavity is damage to the duodenum. \u0000Aim. The improvement of the results of surgical treatment of victims with severe abdominal trauma – shrapnel penetrating wounds of the abdominal cavity with damage to the duodenum. \u0000Materials and methods. The results of treatment of 12 patients with mine-explosive injury, shrapnel penetrating wounds of the abdominal cavity with duodenal damage were analyzed. Among the victims were only men (100 %), aged 22 to 59 years. \u0000Results. Patients were delivered within 4 to 18 hours of injury. In the structure of injuries, only 2 (17 %) patients had isolated damage to the duodenum, the other 10 (83 %) had combined and multiple injuries. All 10 patients had shrapnel wounds and penetrating injuries of the limbs, of which 7 had a traumatic hemopneumothorax, 6 had damage to the kidney and retroperitoneal space, 3 had damage to the pancreas and retroperitoneal space, 2 had damage to the spleen, and 2 had injuries of the inferior vena cava, in 1 – damage to the liver and wall of the ileum, in 1 – violation of the integrity of the pelvic bones. In all cases, a laparotomy was performed, after achieving temporary hemostasis, the duodenum was mobilized according to Kocher-Clermont. We consider it expedient to mobilize the duodenum according to Kocher-Clermont in the presence of the Winiwarter-Laffite triad in order to exclude a through wound of its posterior wall. As for further surgical tactics, after excision of non-viable tissues, a decision was made to completely exclude the duodenum from the process of digestion by performing the Donovan-Hagen operation, the intervention was complemented by decompression of the biliary tract. In the postoperative period, multiple organ failure syndrome developed in 3 patients, severe postoperative pancreatitis in 2, small intestinal fistula in 1, phlegmon of the retroperitoneal space in 1, bleeding (inferior vena cava damage) in 1. 3 patients died (25 %). \u0000Conclusions. We believe that it is expedient to exclude the duodenum from the digestive process in case of its shrapnel wounds (if possible).","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115430105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREVENTION AND TREATMENT OF COMPLICATIONS OF CERVICAL ANASTOMOSIS IN ESOPHAGOPLASTY","authors":"V. Shaprynskyi, Y. Shaprynskyi, Mustafa Bassam Hussein","doi":"10.37699/2308-7005.1-2.2023.13","DOIUrl":"https://doi.org/10.37699/2308-7005.1-2.2023.13","url":null,"abstract":"Summary. Aim. Improving the results of surgical treatment in patients with esophageal stenosis to prevent cervical anastomotic leaks and strictures after esophagoplasty by early detection, prediction of complications and development of comprehensive treatment program. \u0000Materials and methods. The results of surgical treatment of 116 patients with esophageal strictures operated on from 2005 to 2022 were analyzed. Indications to esophagoplasty were the following: post-burn strictures – in 45 patients, peptic strictures – in 10, postoperative strictures – in 17 and esophageal tumors – in 44 patients. \u0000Results and discussion. Using the method of logistic regression it was found that the most important risk factors for cervical anastomotic leak in esophagoplasty are anemia, decreased albumin level – less than 25 g/l, diabetes mellitus, complete esophageal obstruction. Treatment of patients using the proposed program and instrumental method of forming anastomosis was found to reduce the risk of complications. \u0000A comprehensive program of surgical treatment consisting of three stages was developed and used in clinical practice. At the first stage, preoperative preparation aimed at correction of all forms of metabolism was performed and the developed method of prevention of ischemic complications of grafts for esophagoplasty was used. At the second stage, improved mobilization technique in creation of gastric tube and colonic graft were used intraoperatively, as well as the developed instrumental method of forming cervical esophago-organ anastomosis. At the third stage of postoperative period the proposed infusion therapy was continued and stenting was performed in case of specific complications. \u0000Cervical anastomotic leak occurred in 4.92 % of patients in experimental group as compared to 16.36 % of those in comparison group. Cervical anastomotic leak occurred most commonly in gastric tube esophagoplasty, than in colon patch esophagoplasty (p<0.001). No cases of anastomotic leak occurred in formation of cervical anastomosis using the proposed instrumental method. Strictures of cervical anastomosis occurred in 6.56 % of patients in experimental group and 20.0 % of those in comparison group. Strictures of cervical anastomosis were observed more often in gastric tube esophagoplasty, than in colon patch esophagoplasty (p<0.001). \u0000Conclusions. The use of proposed diagnostic and therapeutic algorithm as well as comprehensive program of surgical treatment resulted in reduced incidence of leaks and strictures of esophago-organ anastomosis from 36.36 % to 11.48 % (р<0.01); reduced time of hospitalization – from 28.2 ± 1.1 to 21.5 ± 0.5 bed-days (p<0.001), decreased postoperative period – from 20.5 ± 1.1 to 16.1 ± 0.7 bed-days (p<0.01); decreased postoperative mortality rate – from 7.27 % to 3.28 %.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128269714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}