Výsledky minimálně invazivní ezofagektomie pro karcinom jícnu provedené po ischemickém conditioningu žaludku
| Authors | |
|---|---|
| Year of publication | 2018 |
| Type | Article in Periodical |
| Magazine / Source | Rozhledy v chirurgii |
| Citation | |
| 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. |