EXTIRPATION OF THE ESOPHAGUS WITH ONE-STA GE PLASTICS

The article deals with the results of operations performed on 306 pati ents for extirpation of the esophagus and one-stage total esophagoplas ty with the formation of the anastomosis on the neck. The operation wa s conducted on 178 patients with carcinoma and 128 patients with benig n esophageal strictures. The authors claim this operation to be the op eration of choice in ecophageal carcinoma, cardioesophageal carcinoma, burn and peptic strictures, and in patients with stage IV cardiospasm . An isoperistaltic gastric tube or the large intestine is used for re placement of the esophagus. The postoperative mortality rate was 3.3 % . The immediate and late-term results of this operation are much bette r than those of the other types of esophagoplasty. The authors recomme nd the operation to be used widely in the practice of specialized clin ics for the management of the above mentioned diseases.