FIELD: medicine. SUBSTANCE: method involves making incision on the left side between the medial clavicular line and sternal edge making an oval turn downwards to the end of the xiphoid process. The VII rib end is separated from the sternum and brought downwards. Extrapleural access is carried out using the following techniques. Anteroposterior mediastinotomy is carried out through the VI rib. Total parasagittal diaphragmotomy is performed with esophageal opening ring, phrenicoesophageal ligament, triangular and coronary ligament of the left liver lobe being incised in deflecting the liver downwards and to its right and moving the heart upwards. The lower esophageal segment is transected. The stomach is mobilized from top to down. EFFECT: enhanced effectiveness of treatment; reduced risk of postsurgical complications. 4 dwg
