Step-by-step mobilization with upwards transposition of the intestinal complex in total esophagoplasty using the right half of the large intestine

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 124; no. 6; p. 60
• Main Authors: Kanshin, N N, Travin, A A, Koltashov, I V, Iakovlev, S I
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01-06-1980
• Subjects: Adult; Esophagoplasty - methods; Female; Humans; Intestine, Large - surgery; Intestine, Small - surgery; Male
• ISSN: 0042-4625

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.