Abakumov M M, Pogodina A N, Sapozhnikova M A, Radchenko Iu A, Khasileva A F, Khaliullin A I
Vestn Akad Med Nauk SSSR. 1991(9):33-5.
Surgical policy during the first years after burn was aimed at the recovery of natural nutrition. To achieve that, esophageal bougienage (503 cases) or total retrosternal esophagoplasty from the large intestine (192 cases) were performed. The authors hold that in order to attain complete medical rehabilitation for the patients, it is necessary to remove all the cicatricially changed tissues. Esophageal resection was performed in 78 patients, including 27 with preservation of the n. vagus. In the long-term postburn period, a problem arises as to the surgical correction of functional and morphological alterations associated with the establishment of artificial esophagus (80 cases including 35 patients who were operated on by S. S. Yudin). While choosing surgical policy it is necessary to take into account both the technical skills of a surgeon and the whole complex of changes in the patient's body, which have already developed and are going to develop in the future.
烧伤后最初几年的外科治疗策略旨在恢复自然营养。为实现这一目标，进行了食管扩张术（503例）或经胸骨后大肠全食管成形术（192例）。作者认为，为使患者获得完全康复，必须切除所有发生瘢痕改变的组织。78例患者接受了食管切除术，其中27例保留了迷走神经。在烧伤后期，出现了与人工食管建立相关的功能和形态改变的外科矫正问题（80例，其中35例由S.S.尤丁实施手术）。选择外科治疗策略时，既要考虑外科医生的技术水平，也要考虑患者身体已发生及未来可能发生的整个复杂变化。
