Esophagocoloplasty: choice of procedures
The authors analyze the different techniques employed in coloplasties through out the world and for which a considerable number of case histories areavailable. This type of surgery is difficult, risky and exposed to varied complications. As a result of said analysis it can be sta...
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| Format: | article |
| Jezik: | španščina |
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1973
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| Online dostop: | https://revista.scu.org.uy/index.php/cir_urug/article/view/2474 |
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| Izvleček: | The authors analyze the different techniques employed in coloplasties through out the world and for which a considerable number of case histories areavailable. This type of surgery is difficult, risky and exposed to varied complications. As a result of said analysis it can be stated that: 1) Transverse colon is the most favourable sectoror esophagoplasties. 2) Not only arterial but also venous circulation should be watched· during liberation manouvres; Henle's venous trunk limits ascent of right end of transplant,consequently the aniso-peristaltic position becomes obligatory. 3) Retrosternal approach, though not devoid of complications, is still the best for oncological surgerywhen it becomes necessary to carry out subtotal resection of esophagus. 4) Esophago-colonic anastomosis in the neck may be complicated by swallowing disorders and consequentpassage of liquids to the bronchi and lung flooding. 5) In non-neoplasic surgery the endopleural approach, if technically correct, is considered by the authors as the most adequate and the one that offersthe best functional results. |
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