Tóm tắt

Objectives: To evaluate the results of esophagectomy and operative technique of minimally invasive esophagectomy for esophageal cancer at 103 Military Hospital. Subjects and methods: Retrospective, descriptive study combined a prospective study of 62 patients with esophageal cancer from 1 - 2010 to 9 - 2018. Results: Mean age was 51.91 ± 8.66 (32 - 74), male/female ratio was 14.5/1. Mean operation time was 318.77 ± 64.13 minutes, thoracic step time was 134.00 ± 38.75 minutes, mean blood loss volume during the entire operation was 152.37 ± 52.27 mL. Laparoscopic surgery accounted for 77.4%. Surgical complications: 3 cases (4.8%) with left visceral pleura rupture, 1 case (1.6%) of thoracic duct injury. Mean ventilation time was 18.6 ± 12.6 hours, thoracic drainage time was 5.8 ± 2.8 days, first flatus time was 4.6 ± 1.4 days. Postoperative complications: Operative mortality was 1.6%, respiratory complication was 27.4%, neck anastomosis leakage was 17.7%, raucous was 9.6%, tracheal leakage was 1.6%. Mean postoperative hospitalization time was 18.0 ± 7.2 days (8 - 46 days). Conclusion: Laparoscopic surgery for esophageal cancer is a difficult surgery, early postoperative results were encouraging and should continue monitoring to evaluate the long-term outcomes. * Keywords: Esophageal cancer; Thoracoscopic esophagectomy.

Abstract

Objectives: To evaluate the results of esophagectomy and operative technique of minimally invasive esophagectomy for esophageal cancer at 103 Military Hospital. Subjects and methods: Retrospective, descriptive study combined a prospective study of 62 patients with esophageal cancer from 1 - 2010 to 9 - 2018. Results: Mean age was 51.91 ± 8.66 (32 - 74), male/female ratio was 14.5/1. Mean operation time was 318.77 ± 64.13 minutes, thoracic step time was 134.00 ± 38.75 minutes, mean blood loss volume during the entire operation was 152.37 ± 52.27 mL. Laparoscopic surgery accounted for 77.4%. Surgical complications: 3 cases (4.8%) with left visceral pleura rupture, 1 case (1.6%) of thoracic duct injury. Mean ventilation time was 18.6 ± 12.6 hours, thoracic drainage time was 5.8 ± 2.8 days, first flatus time was 4.6 ± 1.4 days. Postoperative complications: Operative mortality was 1.6%, respiratory complication was 27.4%, neck anastomosis leakage was 17.7%, raucous was 9.6%, tracheal leakage was 1.6%. Mean postoperative hospitalization time was 18.0 ± 7.2 days (8 - 46 days). Conclusion: Laparoscopic surgery for esophageal cancer is a difficult surgery, early postoperative results were encouraging and should continue monitoring to evaluate the long-term outcomes. * Keywords: Esophageal cancer; Thoracoscopic esophagectomy.