Publication details

Výsledky minimálně invazivní ezofagektomie pro karcinom jícnu provedené po ischemickém conditioningu žaludku


PROCHÁZKA Vladimír GROLICH Tomáš ČAN Vladimír MAREK Filip BARTUŠEK Daniel IVIČIČ Jaroslav KALA Zdeněk

Year of publication 2018
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
Keywords esophageal carcinoma; ischemic stomach conditioning; minimaly invasíve edofagectomy; anastomotic leak; anastomosis stenosis
Description WStaging laparoskopy is a safe method benefical for patients with esophageal cancer. It offers exploration of the abdominal cavity to rule out small peritoneal and liver metastases and nutritional jejunostomy for nutrition intake improvement can be done ischemic conditioning can also be performed during laparoskopy which may enhance vascularization of the gastric condult used for oesophageal replecement and despite the fact that it does not reduce the incidence of anastomotic leak, it may reduce its severity. There are no exact recommendations about adequate time delay between ischemic conditioning and oesophageal resection. Performing oesophageal resection is not altered by previous ischemic gastric conditioning.

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