Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University139610.18499/2070-478X-2020-13-2-125-134Research ArticleEsophagoplasty with a Combined Visceral GraftRuchkinDmitry Valerievich<p>M.D., the chief of the upper digestive tract reconstructive surgery department of A.V. Vishnevsky National Medical Research Center of Surgery</p>ruchkindmitry@gmail.ruhttps://orcid.org/0000-0001-9068-3922OkonskayaDiana Evgenievna<p>graduate student in "surgery" of A.V. Vishnevsky National Medical Research Center of Surgery</p>cool_green_alien@mail.ruhttps://orcid.org/0000-0001-7460-4884YanMaria Nikolaevna<p>junior researcher of the department of esophageal and gastric reconstructive surgery A.V. Vishnevsky National Medical Research Center of Surgery</p>yanmaria88@mail.ruKozlovValentin Alexandrovich<p>graduate student in «surgery» A.V. Vishnevsky National Medical Research Center of Surgery</p>kozipan@mail.ruRaevskayaMarianna Borisovna<p>Ph.D., research assistant of the intensive care unit A.V. Vishnevsky National Medical Research Center of Surgery,</p>mraevskaya@mail.ruZavaruevaAnna Aleksandrovna<p>junior researcher of the department of esophageal and gastric reconstructive surgery A.V. Vishnevsky National Medical Research Center of Surgery</p>a.a.zavarueva@gmail.comA.V. Vishnevsky National Medical Research Center of SurgeryA.V. Vishnevsky National Medical Research Center of Surgery, Moscow, Russia290620201321251340312201906022020Copyright © 2020, Ruchkin D.V., Okonskaya D.E., Yan M.N., Kozlov V.A., Raevskaya M.B., Zavarueva A.A.2020<p>The problem of unsuccessful (incomplete) esophagoplasty is still urgent nowadays. Simultaneous esophagoplasty remains a method of choice in reconstructive surgery of the esophagus. However, in the case of ischemic disorders in the transplant, its initially insufficient length, deficiency of the organs of the plastic reserve, the completion of esophagoplasty seems to be a technically complicated task, forcing surgeons to perform multi-stage intervention techniques. These techniques are associated with longer treatment periods and deterioration in the quality of life of patients.<br />The article highlights a rare experience of esophagoplasty with combined grafts consisting of visceral segments on a natural source of blood circulation. Applied operational techniques allowed to complete esophagoplasty in a single step, including rational disposal of compromised plastic material, and also to preserve digestion.</p>The incomplete esophagoplastycombined graft‘compromised’ stomachduodenal transectionjejunogastroplastyНезавершенная эзофагопластикакомбинированный трансплантат«скомпрометированный» желудокдефицит висцерального резерватранссекция ДПКеюногастропластика[1. 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