CÁC YẾU TỐ LIÊN QUAN ĐẾN THỜI GIAN SỐNG THÊM SAU PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ THỰC QUẢN

Abstract

Objective: Evaluate factors related to survival time after laparoscopic surgery to treat esophageal cancer at Bach Mai Hospital. Research subjects and methods: A total of 84 cases underwent thoracoabdominal minimally invasive esophagectomy with two-region lymphadenectomy due to esophageal cancer at General Surgery Department of Bach Mai Hospital from February 2020 to June 2023. Research results: Among a total of 84 patients that had been operated, 77 cases had full information, 5 cases lost information, and 2 cases died within 30 days after surgery. The average survival time after surgery is 34.02±1.69 months, of which the survival probability after surgery 12 months is 92.9%, 24 months is 67.7%, 36 months is 50.6%; Postoperative survival time in group T1 is 36.84 ± 2.37 months, in group T2 is 23.47 ± 2.6 months and in group T3 is 21.25 ± 1.95 months (P = 0.007); The average postoperative survival time in the lymph node metastasis group is 21.52 ± 2.12 months, in the no lymph node metastasis group is 27,896 ± 1.69 months (P = 0.012); Postoperative survival time in stage 1 is 39.76 ± 1.67 months, stage 2 is 23.47 ± 2.6 months and stage 3 is 25.8 ± 1.99 months (P = 0.006); The survival time after surgery when the tumor is in the middle third is 33.97 ± 2.66 months, the lower third is 33.4 ± 2.11 months (p = 0.959). Conclusion: the level of tumor invasion, lymph node metastasis in cancer, and disease stage are factors related to survival time after surgery; age and tumor location are not related to survival time after surgery.