THE ЕNDOCRINE-МЕТАBOLIC ANSWER IN PATIENTS AFTER ESOPHAGECTOMY, DEPENDING ON KIND OF POSTOPERATIVE ANESTHESIA
The results of the improved postoperative analgesia method, applied in 80 patients, operated for esophageal cancer, using two catheters, were adduced. Radical operative interventions, using combined thoraco-abdominal access (in accordance to Lewis or Оsawa-Garlock), were applied. In 40 patients (control group) postoperatively thoracic epidural anesthesia, and in 40 (the main group) – a combined analgesia (thoracic epidural anesthesia and thoracic paravertebral block) was performed. Efficacy of combined thoracic epidural anesthesia with thoracic paravertebral block, concerning lowering of the endocrinal-metabolic answer level in patients after esophagectomy, was proved.