Медицинская литература. Новинки

 

 

 

 

 

 

Рентгенологическая диагностика послеоперационных осложнений и прогрессирования основного заболевания у больных раком пищевода и кардии после различных вариантов эзофагогастроэктомий (обзор литературы)

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Imaging of Postoperative Complications and Tumor Recurrence in Patients with Adenocarcinoma of an Esophagus or Gastroesophageal Junction (Review Article)

The incidence of an esophageal adenocarcinoma is rising rapidly all over the world. It is an aggressive disease with early lymphatic and hematogenous dissemination. The incidence of adenocarcinoma of a gastroesophageal junction is rising in connection with an epidemiological increase of the rate of distal esophageal adenocarcinoma and gastric cardial tumors. Surgery is the best curative treatment option, but it still has a significantly high morbidity and mortality. Various surgical procedures are performed for malignant esophageal lesions. These procedures include transthoracic esophageal resection through a right or left thoracotomy and transhiatal blunt esophageal resection (esophagectomy) without thoracotomy. The most frequent intraoperative complications are hemorrhage, injury of a tracheobronchial tree or a recurrent laryngeal nerve. The most common postoperative complications are anastomotic leak; mediastinitis; respiratory problems, including pleural effusion, pneumonia, and acute respiratory distress syndrome; cardiac and functional complications. This review describes different aspects of an operative technique, postoperative complications, and the most expected findings at postoperative imaging: appearances of postoperative anatomic changes, complications, and tumor recurrence. It is essential for evaluating the effectiveness of surgical procedures and accurate evaluation of affected patients.

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