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THE RESULTS OF THORACOABDOMINAL TAPAROSCOPIC TURGERY FOR ESOPHAGEAL CARCINOMA TREATMENT AT CANCER HOSPITAL: ESOPHAGECTOMY WITH LYMPHADENECTOMY AND CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS USING A LINEAR STAPLED
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Abstract
Objectives: Description of the results of laparoscopic esophagectomy with lymphadenectomy and cervical esophagogastric anastomosis using a linear Stapled combined with hand-sewn in patients with esophageal Carcinoma treated at National Cancer Hospital. Methods: A descriptive retrospective and prospective study, including 74 patients diagnosed and treated for esophageal carcinoma over a period of one year, from December 2022 to November 2023. Results: Among the 74 patients in the study, the mean age was 54.9 ± 8.08, 100% was male. The mean operation time was 252 ± 8 minutes. Patients tended to begin early feeding 3-4 days after surgery (86.5%), mean postoperative hospital stay of 14.2 ± 4.6 days (range 11-37 days). The overall complication rate was 31.2%, with anastomotic leakage occurring in 8.1% of cases and postoperative mortality at 2.7%. Anastomotic stricture requiring endoscopic dilation was relatively low at 2.7%. Conclusions: Esophageal carcinoma treated with thoracoabdominal laparoscopic esophagectomy, lymphadenectomy, and cervical anastomosis using a linear stapled is routinely performed at Cancer Hospital, showing a low incidence of anastomotic stricture requiring endoscopic dilation. Further studies with control groups are needed to better assess the therapeutic efficacy of this surgical method.
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Keywords
: esophageal carcinoma, laparoscopic esophagectomy, anastomosis
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