Chernousov A F, Ruchkin D V, Chernousov F A
Khirurgiia (Mosk). 2005(8):71-5.
Experience in completion of esophagoplasty by means of old transplant's remobilization in 54 patients is analyzed. Primary esophagoplasty in 52 patients was performed for burn stricture, 1 -- for traumatic stricture, 1 -- cancer of the esophagus. In 26 patients the cause of incomplete esophagoplasty was deficient length, in 11 -- necrosis, in 8 -- doubtful viability of transplant, in 7 -- insufficiency of esophageal anastomosis, in 2 -- prolonged obliteration of it. Total remobilization was performed in 41 patients, partial -- in 13. Thirty-six colic, 17 intestinal and 1 gastric transplants were used repeatedly. Esophagoplasty was completed in 50 patients, in 42 of them by one stage. In the rest 4 patients delayed pharyngoplasty was performed in the ENT clinic. One (1.8%) patient died in hospital due to insufficiency of proximal anastomosis and phlegmon of the thorax. Long-term result was studied in 40 patients: it was good in 25 patients, satisfactory -- in 12, bad -- in 3 patients.
分析了54例通过旧移植器官再利用完成食管成形术的经验。52例患者因烧伤性狭窄进行一期食管成形术，1例因创伤性狭窄，1例因食管癌。26例患者食管成形术未完成的原因是长度不足，11例是坏死，8例是移植器官存活存疑，7例是食管吻合口不足，2例是吻合口长期闭塞。41例患者进行了完全再利用，13例部分再利用。36例结肠、17例小肠和1例胃移植器官被重复使用。50例患者完成了食管成形术，其中42例一期完成。其余4例患者在耳鼻喉科诊所进行了延迟咽成形术。1例（1.8%）患者因近端吻合口不足和胸部蜂窝织炎在医院死亡。对40例患者的长期结果进行了研究：25例良好，12例满意，3例差。
