M.V. Burmistrov1, V.Yu. Matveev1,3, M.V. Aglullina2, B.A. Magomedov1, M.A. Nazmiev1
1Republican Clinical Hospital of the MH of RT, Kazan
2Tatarstan Cancer Center, Kazan
3Kazan State Medical University, Kazan
Burmistrov M.V. ― D. Sc. (Medicine), Professor, Deputy Chief Medical Officer Republican of Clinical Hospital of the MH of RT
138 Orenburgskiy Tract, Kazan, Russian Federation, 420064, tel. +7-917-869-53-07, e-mail: email@example.com
Abstract. The article shows a clinical case of treatment of patient with iatrogenic injury of distressed by malignant tumor esophagus and fiberoptic esophagogastroduodenoscopy. Using of endoscopic vacuum-aspirating therapy with VATS sanitation of pleural cavity and mediastinum was applied on the first stage of treatment, neoadjuvant chemoradiotherapy ― on the second stage, transthoratic subtotal resection of esophagus with plastic surgery by an isoperistaltic stem and making of esophagogastroanastamosis on the neck ― on the third stage. The experience gained allows to optimize surgical tactic of esophagus perforations treatment with using of miniinvasive technologies.
Key words: esophagus cancer, esophagus perforation, VATS, VAC-therapy, neoadjuvant chemoradiotherapy, esophagus resection.