KẾT QUẢ PHẪU THUẬT NỘI SOI NGỰC - BỤNG CẮT THỰC QUẢN ĐIỀU TRỊ UNG THƯ THỰC QUẢN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Aims: The research aims at evaluating the initial result of laparo-thoracoscopy in esophageal cancer treatment at Bach Mai Hospital. Materials and  methods: Describe the technique and result of laparo-thoracoscopic esophagectomy in esophageal cancer patients who had surgery at the Department of general surgery of Bach Mai hospital. Results: A total of 84 patients was performed surgery from 2/2020 to 6/2023. Male/female ratio = 83/1. 100% of patients were placed in prone  position at thoraco - stage;  in supine position at laparo - stage. All cases were successfully implemented. The average  surgery  time is 285±42,5  minutes, the average hospitalization time is 9,2±2,1 days.  There was 1 case (1.2%) of left tracheal tear during surgery requiring conversion to open surgery. Complications of anastomotic leak were 11 cases (13.1%), pneumonia complications were 6 cases (7.1%), and postoperative death was 2 cases (2.4%). The average survival time after surgery is 34,02±1,69 months, of which the survival rate after 12 months is 92.9%, 24 months is 67.7%, and 36 months is 50,6%. Conclusion: Laparoscopic thoracoscopic surgery and two-zone lymphadenectomy to treat esophageal cancer is a minimally invasive surgery, safe and effective, with early recovery after surgery and good survival time after surgery.