KẾT QUẢ BƯỚC ĐẦU TẠO HÌNH THỰC QUẢN BẰNG TOÀN BỘ DẠ DÀY TRONG PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ THỰC QUẢN

Abstract

Background and Objectives: Esophageal cancer is a common disease of the gastrointestinal tract. Surgery is considered to be the most effective curative treatment available today. After esophagectomy, the use of plastic stomach to replace the cut esophagus is very important and it greatly determines the success of surgery. We proceed with the method of using the whole stomach to replace the cut esophagus without shrinking the stomach into a tube like before. Methods: This is a prospective study on a group of esophageal cancer patients undergoing esophagectomy and esophagectomy to replace the whole stomach. Results: During the period from June 2021 to May 2022, we performed endoscopic esophagectomy with lymph node dissection and esophagectomy with the entire stomach for 6 patients. All men, aged between 55 and 65 years, were diagnosed with lower third thoracic esophageal cancer. The duration of gastric bypass for esophageal segment replacement is from 30 minutes to 45 minutes. There were no intraoperative complications, 1 patient had slow gastric circulation in the postoperative period. One month after surgery, one patient had reflux after eating. After 3 months of surgery, the results were completely good. Conclusion: Preliminary results show that using the whole stomach to replace the cut esophagus in surgery for esophageal cancer gives good results.