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Khatkov I.E.

A.S. Loginov Moscow Clinical Scientific and Practical Center

Domrachev S.A.

A.S. Loginov Moscow Clinical Scientific Centre;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Izrailov R.E.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Vasnev O.S.

Loginov Moscow Clinical Scientific Center of the Moscow Healthcare Department

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Tskhovrebov A.T.

Petrovsky Russian Research Centre of Surgery

Gorshunova A.P.

Russian Scientific Center for Surgery named after Academician B.V. Petrovsky

Minimally invasive esophagectomy for benign esophageal diseases: results of a two-center study

Authors:

Khatkov I.E., Domrachev S.A., Shestakov A.L., Izrailov R.E., Vasnev O.S., Tarasova I.A., Tskhovrebov A.T., Gorshunova A.P.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(7): 5‑11

DOI: 10.17116/hirurgia20220715

Read: 1782 times

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Table of contents

MINIMALLY INVASIVE ESOPHAGECTOMY FOR BENIGN ESOPHAGEAL DISEASES: RESULTS OF A TWO-CENTER STUDY
MINIMALLY INVASIVE ESOPHAGECTOMY FOR BENIGN ESOPHAGEAL DISEASES: RESULTS OF A TWO-CENTER STUDY

To cite this article:

Khatkov IE, Domrachev SA, Shestakov AL, et al. . Minimally invasive esophagectomy for benign esophageal diseases: results of a two-center study. Pirogov Russian Journal of Surgery. 2022;(7):5‑11. (In Russ.)
https://doi.org/10.17116/hirurgia20220715

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
Short-term outcomes of the McKeown esophagectomy for thoracic esophageal cancer: a multiple-center study. Piro­gov Russian Journal of Surgery. 2025;(8):6-14
Abstract:

OBJECTIVE

To analyze the results of thoracoscopic esophagectomy for benign esophageal diseases.

MATERIAL AND METHODS

The study included 78 patients who underwent thoracoscopic esophagectomy between 2011 and 2019. Peptic and burn strictures of the esophagus were diagnosed in 53 patients, achalasia — in 24 patients. Minimally invasive esophagectomy and esophagoplasty with isoperistaltic gastric tube and esophagogastrostomy on the neck was performed in 68 patients, Ivor Lewis esophagectomy — in 1 patient, coloesophagoplasty — in 9 patients. We used manual technique of anastomosis in 58 patients, stapling device — in 19 patients. In 1 case, surgery was finished with esophagostomy and gastrostomy.

RESULTS

Mean blood loss was 200 ml (10—1200), surgery time — 450 min (265—765 min). Early postoperative complications occurred in 37 patients including anastomotic leakage in 24 cases. In long-term period, anastomotic strictures developed in 9 patients. No mortality was observed.

CONCLUSION

Minimally invasive esophagectomy for benign esophageal diseases ensures favorable clinical outcomes. However, no consensus in the choice of surgical approach and indications, as well as small number of these patients cause challenges in implementation of this technique. There are different opinions regarding technique of anastomosis on the neck and surgical access in thoracoscopic esophagectomy.

Keywords:

minimally invasive esophagectomy
achalasia
esophageal stricture

Authors:

Khatkov I.E.

A.S. Loginov Moscow Clinical Scientific and Practical Center

Domrachev S.A.

A.S. Loginov Moscow Clinical Scientific Centre;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Izrailov R.E.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Vasnev O.S.

Loginov Moscow Clinical Scientific Center of the Moscow Healthcare Department

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Tskhovrebov A.T.

Petrovsky Russian Research Centre of Surgery

Gorshunova A.P.

Russian Scientific Center for Surgery named after Academician B.V. Petrovsky

Received:

10.12.2021

Accepted:

15.01.2022

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