spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.38181/2223-2427-2020-3-29-35spractice-179Research ArticleСтатьиМЕХАНИЧЕСКИЕ ПИЩЕВОДНЫЕ АНАСТОМОЗЫMECHANICAL ESOPHAGEAL ANASTOMOSEShttps://orcid.org/0000-0001-7061-6298ШестаковА. Л.ShestakovA. L.

Шестаков Алексей Леонидович — д. м. н., заведующий отделением хирургии пищевода и желудка

119991, Абрикосовский переулок, д. 2, Москва, Российская Федерация

Alexey L. Shestakov — Doctor of Medicine, Prof., Head of the Department of Esophagus and Stomach Surgery

119991, Abrikosovsky per., 2, Moscow, Russian Federation

https://orcid.org/0000-0003-2076-5302ТаджибоваИ. М.TadzhibovaI. M.

Таджибова Ирейхан Магамедовна — аспирант отделения хирургии пищевода и желудка

119991, Абрикосовский переулок, д. 2, Москва, Российская Федерация

Ireyhan M. Tadzhibova — Postgraduate Researcher, Department of Esophagus and Stomach Surgery

119991, Abrikosovsky per., 2, Moscow, Russian Federation

https://orcid.org/0000-0002-6254-8966ЧерепанинА. И.CherepaninA. I.

Черепанин Андрей Игоревич — д. м. н., профессор, заведующий кафедрой хирургии Академии постдипломного образования

141435, Микрорайон Новогорск, Химкинский городской округ, Московская область, Российская Федерация

Andrey I. Cherepanin — Doctor of Medicine, Prof., Head of the Faculty of Surgery

141435, district Novogorsk, Himkinskij city district, Russian Federation

https://orcid.org/0000-0001-5629-1538БезалтынныхА. А.BezaltynnykhA. A.

Безалтынных Александр Александрович — к. м. н., доцент кафедры госпитальной хирургии

214019, ул. Крупской, д. 28, г. Смоленск, Российская Федерация

Alexander A. Bezaltynnykh — Cand. of Medical Sciences, Associate Professor, Department of Hospital Surgery

214019, Krupskoi St., 28, Smolensk, Russian Federation

https://orcid.org/0000-0001-9522-9251ШахбановМ. Э.ShakhbanovM. E.

Шахбанов Магомед Элескерович — аспирант отделения хирургии пищевода и желудка

119991, Абрикосовский переулок, д. 2, Москва, Российская Федерация

Magomed E. Shakhbanov — Postgraduate Researcher, Department of Esophagus and Stomach Surgery

119991, Abrikosovsky per., 2, Moscow, Russian Federation

ФГБНУ «Российский научный центр хирургии им. акад. Б.В. Петровского»РоссияB.V. Petrovsky Russian Research Center of SurgeryRussian FederationФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства»РоссияFederal State Institution «Federal Clinical Center of High Medical Technologies of the Federal Medical and Biological Agency»Russian FederationФГБОУ ВО «Смоленский государственный медицинский университет» Министерства здравоохранения Российской Федерации»РоссияSmolensk State Medical UniversityRussian Federation202003122020032935Copyright © Шестаков А.Л., Таджибова И.М., Черепанин А.И., Безалтынных А.А., Шахбанов М.Э., 20202020Шестаков А.Л., Таджибова И.М., Черепанин А.И., Безалтынных А.А., Шахбанов М.Э.Shestakov A.L., Tadzhibova I.M., Cherepanin A.I., Bezaltynnykh A.A., Shakhbanov M.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/179

В настоящей статье приведен обзор научной литературы по механическим пищеводным анастомозам. В хронологическом порядке представлены исследования отечественных и зарубежных авторов по результатам формирования пищеводных анастомозов с помощью циркулярных и линейных сшивающих аппаратов (степлеров). Описаны недостатки степлеров, осложнения, связанные с ними. Авторами подчеркнута важность проблемы выбора способа анастомозирования с целью устранения рисков таких специфических осложнений, как несостоятельность и стриктура пищеводного анастомоза. Проанализированы достоинства и недостатки известных на сегодняшний день методик наложения пищеводных анастомозов. Отмечено, что механические анастомозы по типу бок-в-бок связаны с низкой частотой несостоятельности и стриктуры, послеоперационной летальности, что послужило основанием для их формирования в грудной полости и на шее, особенно в условиях малоинвазивных реконструктивных вмешательств. Авторами заключено, что вопрос о целесообразности формирования механических пищеводных анастомозов остается открытым, оценка свойств современных степлеров и поиск оптимального способа формирования анастомозов с пищеводом актуальны для современной хирургии.

This article gives an overview of mechanical esophageal anastomosis. The results of the esophageal anastomoses formation by using circular and linear stitching devices (staplers) by Russian and foreign authors are presented in chronological order. The faults of staplers, complications associated with them are described. The importance of the problem related to the choice of anastomotic technique to reduce the risks of specific complications such as leakage and stricture of esophageal anastomosis was remarked by authors. The advantages and disadvantages of the currently known esophageal anastomotic methods have been analyzed. It was noted that mechanical side-to-side anastomoses are associated with low frequency of leakage, stricture, postoperative mortality, that’s why they have become preferable, especially in the mini-invasive reconstructive surgery. The authors concluded that the question about the feasibility of mechanical esophageal anastomoses formation is not answered, the evaluation of the properties of modern staplers and the search for the best esophageal anastomotic method are relevant for modern surgery.

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The authors declare that there are no conflicts of interest present.