METHOD FOR PREVENTION OF PLEURO-MEDIASTINAL COMPLICATIONS AFTER ESOPHAGECTOMY WITH GASTRIC STEM REPAIR AND NECK ANASTOMOSIS Russian patent published in 2025 - IPC A61B17/11 A61B17/32 A61B17/04 A61B17/02 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to thoracic surgery. Skin and subcutaneous muscle are incised in a projection of an anterior edge of a left sternocleidomastoid muscle. Left sternocleidomastoid muscle is moved laterally. At the level of the cricoid cartilage of the larynx, the left sternum-hyoid and left sternum-thyroid muscles, the upper abdomen of the scapular-hyoid muscles are transected. Trachea with larynx and thyroid are taken to the right. Oesophagus stump is displaced cranially. Transected muscles are stitched with two Z-shaped sutures so that the next stitches are used to stitch the prevertebral fascia. When tying the sutures, the transected left sternohyoid, left sternum and upper abdomen of the scapular-hyoid muscle are immersed retrotracheally. Gastric stem replacing the oesophagus is laid retrosternally. Gastroesophageal anastomosis is formed to the left of the trachea.

EFFECT: method enables delimiting the anastomosis zone on the neck after oesophagotomy with gastric stem repair from the right pleural cavity, anterior and posterior mediastinum, reduces the severity of complications, enables the conservative treatment of the anastomotic leak.

1 cl, 6 dwg, 2 ex