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SURGICAL RESULTS AND SOME PROGNOSIS FACTORS AFTER THROATOCAL ENDOSCOPIC SURGERY TO TREAT ESOPHAGIC CANCER AT VIET DUC FRIENDSHIP HOSPITAL IN THE PERIOD 2019-2022
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Abstract
Research objective: To evaluate the outcomes of thoracoscopic and laparoscopic surgery for the treatment of esophageal cancer at Viet Duc Friendship Hospital. Subjects and methods: A retrospective descriptive study involving 138 patients with esophageal cancer who underwent thoracoscopic and laparoscopic surgery at the Department of Digestive Surgery at Viet Duc Friendship Hospital from January 2019 to December 2022. Results and discussion: The average age was 57.83 ± 7.41 years. Males accounted for 98.6%, while females made up 1.4%. Tumor location: middle third accounted for 39.9%, and lower third accounted for 60.1%. The average surgical time was 289.2 ± 38.8 minutes. The average number of dissected lymph nodes was 21.25 ± 10.91. The intraoperative complication rate was 1.4% (2 cases of pleural injury). Among the postoperative complications, the most common was respiratory complications, which accounted for 18.1%; there were 5 cases (3.6%) of hoarseness post-surgery, and the anastomotic leak rate was 4.3%, with 3 patients experiencing chylous leaks after surgery; no patients died during the postoperative period. Postoperative histopathology revealed 0.7% adenocarcinoma, 91.3% squamous cell carcinoma, 1.4% mucinous carcinoma, and 6.5% with no tumor cells remaining. Among the 138 patients in the study, 9 patients were lost to follow-up (6.5%), 42 patients had died (30.4%), and 87 patients were alive (63%). The average survival time was 47.9 ± 1.9 months. Seven patients (5.1%) experienced anastomotic strictures and were treated with esophageal dilation. Conclusion: Thoracoscopic and laparoscopic esophagectomy has become a standard procedure for the treatment of esophageal cancer. The surgery meets the requirements for treating esophageal cancer in terms of postoperative survival time and has reduced the rates of complications compared to open surgery.
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Keywords
esophageal cancer, thoracoscopic esophagectomy
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