Kariakin A M, Aliev S A, Ivanov M A
Vestn Khir Im I I Grek. 1997;156(3):64-7.
Results of resections and simultaneous plasty of the esophagus in 178 patients with the III and III-IV stages of the malignant process are analyzed. The overwhelming majority of the patients were elderly and senile people. The total intrahospital lethality was 14.1%, lethality due to incompetent anastomoses was 5.6%. A comparative evaluation of results of the Lewis operations and operations performed by the Savinykh-Kariakin method has shown that lethality in the first group of patients was 3.5 times higher than in the second group. Pulmonary and cardio-vascular complications as well as infectious complications were significantly more frequent after the intrapleural access and plasty of the esophagus. Less amount of such complications after the posteromedial plasty of the esophagus by the Savinykh-Kariakin method resulted in less total lethality (7.9%). The authors consider the better results of operative treatment to be related both with less traumatic method of resection and plasty of the esophagus and with the adequate control of possible complications and prophylactic measures.
对178例处于恶性病变Ⅲ期和Ⅲ - Ⅳ期患者的食管切除术及同期成形术结果进行了分析。绝大多数患者为老年人和高龄老人。医院内总死亡率为14.1%，吻合口功能不全导致的死亡率为5.6%。对Lewis手术结果与采用萨维内赫 - 卡里亚金方法进行的手术结果的比较评估表明，第一组患者的死亡率比第二组高3.5倍。经胸膜入路及食管成形术后，肺部、心血管并发症以及感染性并发症明显更为常见。采用萨维内赫 - 卡里亚金方法进行食管后内侧成形术后此类并发症数量较少，导致总死亡率较低（7.9%）。作者认为手术治疗效果较好与食管切除和成形术创伤较小的方法以及对可能并发症的充分控制和预防措施有关。
