FIRST EXPERIENCE OF VIDEO LAPAROSCOPIC-ASSISTED LARYNGOPHARYNGOESOPHAGECTOMY WITH FORMATION OF PHARYNGOGASTROANASTOMOSIS USING THE METHOD OF JUAN SANTIAGO AZAGRA

T.L. Sharapov1, 2, A.N. Rudik1–3, A.A. Gubeeva1, 2, E.I. Sigal1, A.I. Timerzyanov1

1Republican Clinical Oncological Dispensary named after Prof. M.Z. Sigal, Kazan

2Kazan (Volga region) Federal University, Kazan

3Kazan State Medical Academy, Kazan

Gubeeva A.A. – clinical resident doctor majoring in oncology

18 Kremlevskaya St., build. 1, 420008, Kazan, Russian Federation, tel.: +7-965-685-70-75, e-mail: gbv.a@inbox.ru, ORCID ID: 0009-0008-3114-2278

Abstract. In modern oncology, the treatment of cervical oesophageal cancer is an urgent and unsolved problem, despite the successes achieved over more than a century of treating the oesophageal pathology.

In a number of patients with cervical oesophageal tumours after radiotherapy/chemoradiation therapy in the presence of residual tumour, continued growth or recurrence, surgical intervention may be used as a salvage method. In such patients, the only treatment option is laryngopharyngoesophagectomy with various methods of reconstruction of the oesophageal route with cervical lymphadenectomy of V level and intrathoracic, intra-abdominal lymphodissection in the volume of D2.

The article presents the clinical experience of surgical treatment of locally advanced squamous cell carcinoma of the cervical oesophagus in the scope of laryngopharyngoesophagectomy, where the Juan Santiago Azagra technique was used to form a pharyngogastroanastomosis.

Key words: laryngopharyngoesophagectomy, cervical oesophageal cancer, pharyngogastroanastomosis.