[Principles of creating esophageal anastomoses].

The techniques of formation of esophageal anastomoses are discussed on the basis of experience with 317 operations. The authors believe the following moments to be most important in the creation of communications with the esophagus: the use of a laser scalpel and monophilic atraumatic suture material, accurate apposition of the identical coats of the anastomosed organs by means of sutures placed at some distance from one another and tied not too tightly, creation of an antireflux mechanism in formation of the anastomosis, adequate drainage of the zone of the anastomosis with compulsory isolation of the wound on the neck from the mediastinum by circular stitching of the graft to the surrounding tissues, provision of adequate blood supply to the esophageal stump, correction of tension exerted on the sutures of the anastomosis by means of adequate intraluminal decompression.