[Posteromediastinal esophagogastroplasty in esophageal surgery]

The results of esophagogastroplasty in 101 patients are analysed. 41 patients had benign esophageal structure, 60 patients--benign esophageal tumors. Certain improvements of abdomino-cervical access and closed one-stage esophagogastroplasty have been proposed. The improvements include: use of the fibro-optical systems for esophageal mobilisation under the visual control, bringing down of duodenojejunal transition for prevention of esophageal reflux, posterior mediastinum tamponade with a muscle for prevention of mediastinitis, aseptic invaginational esophagogastric anastomosis. A significant reduction in the rate of purulent complications was observed. The rate of mortality was 7.9% (8/101).