KẾT QUẢ PHẪU THUẬT NỘI SOI 3D CẮT THỰC QUẢN, NẠO VÉT HẠCH ĐIỀU TRỊ UNG THƯ BIỂU MÔ VẢY THỰC QUẢN TẠI BỆNH VIỆN K

Abstract

Background: This study aims to evaluate the treatment outcomes of patients with esophageal squamous cell carcinoma undergoing thoraco-laparoscopic esophagectomy and two-field or three-field lymph node dissection at K Hospital. Subjects and methods: Prospective descriptive study at K Hospital from October 2022 to December 2024 on patients with esophageal squamous cell carcinoma undergoing 3D thoracolaparoscopic esophagectomy and extended two-field lymph node dissection. Results: The mean age was 57.0 ± 7.0 years. 62.5% of patients underwent upfront surgery, while 37.5% received preoperative chemoradiotherapy. 93.8% underwent extended two-field lymph node dissection, and 6.3% underwent three-field dissection. One case of intraoperative tracheal perforation was recorded. The mean operation time of the thoracic phase was 172.4 ± 47.2 minutes. The average blood loss during the thoracic phase was 83.3 ± 56.4 mL.The most common postoperative complications were respiratory complications (27,5%) and grade I recurrent laryngeal nerve palsy (15%). After a mean follow-up duration of 15.1 ± 7.2 months, 9 cases of recurrence/metastasis were observed. Disease-free survival was significantly associated with lymph node metastasis status and disease stage (statistical significance with p < 0.05). Conclusion: 3D thoraco-laparoscopic esophagectomy and lymphadenectomy is a feasible, safe, and effective approach for esophageal cancer treatment in Vietnam. Managing complications and ensuring comprehensive postoperative follow-up are crucial to improving treatment outcomes.