Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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TOPOGRAPHY OF ORGANS OF THE MEDIASTINUM AFTER THE SUBTOTAL ESOPHAGECTOMY WITH THE PLASTY THE GASTRIC GRAFT (OPERATIONS LIKE LEWIS) IN THE EARLY POSTOPERATIVE PERIOD ACCORDING TO THE COMPUTER TOMOGRAPHY

Samoylov P.V. 1
1 Orenburg Medical State Academy
The aim of the study was to obtain a new data about changes of the topographic parameters of the mediastinum and its organs after subtotal resection of the esophagus with plastic of the gastric transplant (operation of the type Lewis) in the early postoperative period. Material of research were computer tomograms of 40 patients with clinically significant stages of a cancer of thoracal department of an esophagus (T1–T3) is surveyed. From them 7 people (17,5 %) with a cancer of the top third, 21 persons (52,5 %) with a cancer of an average third and 12 people (30,0 %) with a cancer of the bottom third of thoracal department of an esophagus. Operation was executed from number above the specified patients 30 like Lewis. It was compared CT data obtained before and on the 14-th day after surgery. On the first two weeks after surgery it was marked a decrease an anterior-posterior size of the mediastinum, which was associated with the reposition of the gastric transplant in the posterior mediastinum. Also, there were an increase of the transverse size of the posterior mediastinum with a shift its to the right  from the median plane, the displacement of the heart forward to the sternum and the thoracic aorta to the left on the lateral surface of the vertebral bodies.