THE MODIFIED METHOD OF RETROSTERNAL TUNNEL FORMATION IN CASE OF ESOPHAGOPLASTY IN CHILDREN
https://doi.org/10.21886/2219-8075-2014-3-152-155
Abstract
Purpose: to improve retrosternaly conducted artificial esophagus functional properties by manubrium of sternum resection.
Materials and methods: a comparative two groups of children examination was performed: first group (53 persons), retrosternal tunnel was made without manubrium of sternum resection and the second group (38 persons) in which manubrium of sternum was resected during retrosternal tunnel formation. The method of resection was described. An X-ray examinations were used to evaluate the function of new-made esophagus.
Results: in all patients from the first group a colon diverticula over incisure of sternum were developed, which had clinical and X-ray manifestations, impaired functional properties of artificial esophagus. No such a diverticula revealed in children from the second group.
Summary: manubrium of sternum resection in case of retrosternal tunnel formation during esophagoplasty in children excludes the colon compression, colon diverticula formation and improves the food-passing function of new-made esophagus.
Materials and methods: a comparative two groups of children examination was performed: first group (53 persons), retrosternal tunnel was made without manubrium of sternum resection and the second group (38 persons) in which manubrium of sternum was resected during retrosternal tunnel formation. The method of resection was described. An X-ray examinations were used to evaluate the function of new-made esophagus.
Results: in all patients from the first group a colon diverticula over incisure of sternum were developed, which had clinical and X-ray manifestations, impaired functional properties of artificial esophagus. No such a diverticula revealed in children from the second group.
Summary: manubrium of sternum resection in case of retrosternal tunnel formation during esophagoplasty in children excludes the colon compression, colon diverticula formation and improves the food-passing function of new-made esophagus.
About the Authors
M. G. Chepurnoy
Rostov State Medical University
Russian Federation
Department of pediatric surgery and orthopedics
Russian Federation
Department of pediatric surgery and orthopedics
Yu. V. Semernik
Rostov State Medical University
Russian Federation
Department of pediatric surgery and orthopedics
Russian Federation
Department of pediatric surgery and orthopedics
A. A. Ayvazyn
Rostov State Medical University
Russian Federation
Department of pediatric surgery and orthopedics
Russian Federation
Department of pediatric surgery and orthopedics
Y. V. Khoron’ko
Rostov State Medical University
Russian Federation
Department of pediatric surgery and orthopedics
Russian Federation
Department of pediatric surgery and orthopedics
A. N. Kivva
Rostov State Medical University
Russian Federation
Department of pediatric surgery and orthopedics
Russian Federation
Department of pediatric surgery and orthopedics
K. A. Novikov
Rostov State Medical University
Russian Federation
Department of pediatric surgery and orthopedics
Russian Federation
Department of pediatric surgery and orthopedics
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Review
For citations:
Chepurnoy M.G., Semernik Yu.V., Ayvazyn A.A., Khoron’ko Y.V., Kivva A.N., Novikov K.A. THE MODIFIED METHOD OF RETROSTERNAL TUNNEL FORMATION IN CASE OF ESOPHAGOPLASTY IN CHILDREN. Medical Herald of the South of Russia. 2014;(3):152-155. (In Russ.) https://doi.org/10.21886/2219-8075-2014-3-152-155
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