ĐẶC ĐIỂM DI CĂN HẠCH QUANH THẦN KINH THANH QUẢN QUẶT NGƯỢC SAU PHẪU THUẬT NỘI SOI NGỰC BỤNG CẮT THỰC QUẢN TƯ THẾ NGHIÊNG 90 ĐỘ, NẠO VÉT HẠCH 3 VÙNG ĐIỀU TRỊ UNG THƯ BIỂU MÔ THỰC QUẢN TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Research objective: Describe the characteristics of lymph node metastasis around the recurrent laryngeal nerve in patient’s esophageal carcinoma who underwent laparoscopic and thoracoscopic esophagectomy in a 90-degree inclined position, three-field lymph node dissection at the Department of General Surgery, Hanoi Medical University Hospital from November 2023 to November 2024. Subjects and research methods: Retrospective descriptive study on 13 patient’s esophageal carcinoma who underwent laparoscopic and thoracoscopic esophagectomy in a 90-degree inclined position, three-field lymph node dissection at the Department of General Surgery, Hanoi Medical University Hospital. Results and discussion: The rate of lymph node metastasis around the recurrent laryngeal nerve in 13 patients was 15.38%. The average number of lymphnode metastasis was 0.15 ± 0.38. Our analysis shows that tumor’s position, level of invasion may be the risk factors independent of lymph node metastasis around the recurrent laryngeal nerve in esophageal carcinoma (p>0.05). Conclusion: Tumor’s position, level of invasion may be the risk factors independent of lymph node metastasis around the recurrent laryngeal nerve in esophageal carcinoma. Further studies with larger patient numbers and more rigorous study designs are needed to confirm these results and to identify other risk factors.