Variant of surgical tactics in case of the esophagus rupture when forming the esophagojejunum anastomosis using circular stapling apparatus

Abstract

Gastrectomy is performed in an average of 80 % of resectable malignant stomach tumors. Rupture of the esophagus at the formation of esophagojejunum anastomosis in gastrectomy is one of the terrible complications that can occur during surgery. In our clinical observation, the patient experienced such complication: when trying to place the head of the stapler apparatus into the esophageal lumen, there was a longitudinal rupture of its wall, extending to the abdominal and lower thoracic areas. Given the length of the mesentery of the transverse colon, sufficient for carrying into the thoracic cavity, plastic surgery was performed using a graft from the colon. The postoperative period proceeded without complications. The patient was discharged from the hospital under the supervision of a regional oncologist. This observation demonstrates the possibility of the successful use of the transverse colon as a graft in case of esophageal rupture when using circular staplers apparatus for the formation of the esophageal anastomoses.

Keywords

• esophagus
• anastomosis
• rupture