[Reconstructive-plastic operations using microsurgical techniques in oncology]

With the successful development of combined treatment of malignant tumors, the performance of organ-preserving operations, those with microsurgical techniques among others, is now possible. Ninety-five patients with various localization of the tumors were operated on. Esophagoplasty using a graft from the greater curvature of the stomach with venous shunting, and segmental esophagoplasty with the small intestine were conducted in 63 patients, plastics of the lower limb in 25 patients, and plastics of the organs of the head and neck in 7 patients. Vascular complications were encountered in 11.5%. The grafts healed completely in 93.7%. Preoperative radiotherapy and chemotherapy were the main complicating factors. Microsurgical techniques make it possible to expand the radicalism of the operations and improve the rehabilitation of oncological patients. Clear-cut indications for such operations must be taken properly into account.