ririРаны и раневые инфекции. Журнал имени проф. Б.М. КостючёнкаWounds and wound infections. The prof. B.M. Kostyuchenok journal2408-96132500-0594Regional non-governmental organization “Surgical society - Wounds and wound infections”10.17650/2408-9613-2016-3-1-32-41riri-78Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL REPORTSЭндоскопическая вакуумная терапия в лечении несостоятельности анастомозов верхних отделов пищеварительного тракта. Первый опыт и обзор литературыEndoscopic vacuum therapy in the treatment of anastomotic incompetence in the upper digestive tract: the first experience and a review of the literatureХатьковИ. Е.Khat’kovI. E.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ШишинК. В.ShishinK. V.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

k.shishin@mknc.ruНедолужкоИ. Ю.NedoluzhkoI. Yu.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

КурушкинаН. А.KurushkinaN. A.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ИзраиловР. Е.IzrailovR. E.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ВасневО. С.VasnevO. S.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ПоморцевБ. А.PomortsevB. A.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ЧерниковаЕ. Н.ChernikovaE. N.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ПавловИ. А.PavlovI. A.

111123, Москва, шоссе Энтузиастов, 86

86 Shosse Entuziastov, Moscow, 111123

ГБУЗ г. Москвы «Московский клинический научно-практический центр Департамента здравоохранения г. Москвы»РоссияMoscow Clinical Research and Practical Center, Moscow Healthcare DepartmentRussian Federation201629092016313241Copyright © Хатьков И.Е., Шишин К.В., Недолужко И.Ю., Курушкина Н.А., Израилов Р.Е., Васнев О.С., Поморцев Б.А., Черникова Е.Н., Павлов И.А., 20162016Хатьков И.Е., Шишин К.В., Недолужко И.Ю., Курушкина Н.А., Израилов Р.Е., Васнев О.С., Поморцев Б.А., Черникова Е.Н., Павлов И.А.Khat’kov I.E., Shishin K.V., Nedoluzhko I.Y., Kurushkina N.A., Izrailov R.E., Vasnev O.S., Pomortsev B.A., Chernikova E.N., Pavlov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.riri.su/jour/article/view/78

Хирургия верхних отделов пищеварительного тракта по праву относится к хирургии высокого риска и, безусловно, сопряжена с развитием тяжелых, жизнеугрожающих осложнений, в частности несостоятельности дигестивных анастомозов, которые, в свою очередь, приводят к гнойно-септическим осложнениям. Летальность от несостоятельности анастомозов после обширных хирургических вмешательств на пищеводе и желудке достигает 60 %. В процессе накопления опыта и совершенствования техники оперативного вмешательства отмечается неуклонное снижение числа осложнений. Методы эндоскопического закрытия перфорации являются приоритетными, поскольку сопровождаются меньшим уровнем летальности.

Surgery for the upper digestive tract is justly a high-risk one and is absolutely associated with the development of severe, life-threatening complications, particularly incompetent digestive anastomoses, which in turn lead to pyoseptic complications. After extensive surgical interventions into the esophagus and stomach, the mortality rates from anastomotic incompetence are as high as 60%. There is a steady decline in the number of complications due to the accumulation of experience and improvement of surgical techniques. Endoscopic techniques for the closure of perforation are priority since they result in lower mortality rates.

The paper describes the experience in treating 6 patients (after laparoscopic proximal gastric resection (n = 4), gastrectomy (n = 1), and longitudinal gastric resection (n = 1)), by using a vacuum aspiration system, in the period from March to December 2015. It shows a procedure for installing the vacuum aspiration system and its mechanism of action, gives the obtained results of this procedure, and analyzes the experience of world literature. 

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