KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI NGỰC BỤNG CẮT THỰC QUẢN TƯ THẾ NGHIÊNG TRÁI 90°, NẠO VÉT HẠCH 3 VÙNG ĐIỀU TRỊ UNG THƯ BIỂU MÔ THỰC QUẢN TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: To describe the clinical, paraclinical characteristics and early postoperative results in patients undergoing thoraco-laparoscopic esophagectomy with left lateral decubitus positions for esophageal carcinoma at  Hanoi Medical University Hospital. Methods: Prospective descriptive study on 7 patients with esophageal squamous carcinoma who underwent laparoscopic thoracoscopic with left lateral decubitus, 3-field lymphadenectomy. Results and discussion: Mean age 58.71 ± 10.24 years. Men account for 100%. Common reasons for hospitalization are dysphagia and weight loss. Tumor location: middle 1/3 accounts for 71.42%, lower 1/3 accounts for 28.6%. The mean operation time was 336.4 ± 34 minutes, no case required conversion to open surgery. The average time of mechanical ventilation after surgery was 1.7 ± 1.5 days, the average time of pleural drainage removal after surgery was 11.3 ± 4.7 days. There were 2 cases of recurrent laryngeal nerve paralysis, 2 cases of postoperative respiratory complications, and no cases of postoperative anastomotic leakage. Conclusions: thoracoscopic esophagectomy in the left lateral decubitus position and 3-field lymph node dissection is a safe and effective method in treating esophageal carcinoma.