Videolaparoscopic transchiatal extirpation of the esophagus in locally advanced cancer of the esophagus and cardio-esophageal junction

Introduction. Esophageal cancer is one of the most unfavorable diseases of the digestive tract, with a high mortality rate.Te purpose of the study. Te purpose of this work is to increase the e ectiveness of surgical treatment of patients with locally advanced forms of esophageal cancer complicated by tumor stenosis and bleeding due to the rational use of minimally invasive technologies at the stage of surgical treatment.Materials and methods of research. As part of the combined treatment, 2 patients with locally advanced forms of esophageal cancer and cardioesophageal junction were operated on.Treatment results. Te experience of using laparoscopically assisted transchiatal extirpation of the esophagus in locally advanced esophageal cancer and cardioesophageal transition in two patients with severe concomitant diseases is described. Te possibility of performing operations in patients with locally advanced esophageal cancer and cardio-esophageal transition with subcompensated concomitant diseases is demonstrated, including through a rational combination of laparoscopic technologies and minilaparotomic access.Conclusion. Endovideosurgically assisted operations are safe and feasible in patients with locally advanced forms of esophageal cancer and cardioesophageal junction, including through the rational use of the possibilities of mini-access. Te endovideosurgically assisted manual makes it possible to expand the indications for surgical treatment in comorbid patients