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Date Published: 18/07/2023
Abstract Views: 214
Views PDF: 155
DOI: https://doi.org/10.51298/vmj.v528i1.6043
Issue
Vol. 528 No. 1 (2023)
Section
Các bài báo
How to Cite
Bùi, Đức Ái. (2023). SHORT-TERM OUTCOME OF LAPAROSCOPIC ESOPHAGECTOMY WITH THREE-FIELD LYMPH NODE DISSECTION FOR ESOPHAGEAL CANCER AT CHO RAY HOSPITAL. Vietnam Medical Journal, 528(1). https://doi.org/10.51298/vmj.v528i1.6043

SHORT-TERM OUTCOME OF LAPAROSCOPIC ESOPHAGECTOMY WITH THREE-FIELD LYMPH NODE DISSECTION FOR ESOPHAGEAL CANCER AT CHO RAY HOSPITAL

Đức Ái Bùi1,
1 Cho Ray hospital

Main Article Content

Abstract

Background: Esophageal squamous cell carcinoma is one of worst prognosis cancer due to extensive lymph node metastasis and local invasiveness. Our objective in this study is to evaluate surgical outcome, feasibiliy and benefits of three-field lymph node dissection in treatment esophageal cancer. Materials and Methods: Between November 2015 to December 31, 2022, a total of 114 patients had undergone esophagectomy with three-field lymph node dissection at the department of digestive surgery, Cho Ray hospital, Vietnam. All of the patients had primary squamous cell carcinoma of thoracic esophagus. This is prospective descriptive study. Results: The mortality rate after laparoscopic esophagectomy with 3-Field lymph node dissection was 0.88%. The overall complication rate was 50.9%. Recurrent laryngeal nerve paresis is the most common complication, accounting for 21.9%, anastomosis and pneumonia respectively 11.4% and 10.5%, lymphatic leakage accounted for 2.6%. The rate of lymph node metastasis after esophagectomy with 3-field lymph node dissection was 49.1%. In which, cervical lymph node metastasis of  middle and lower thoracic esophageal cancer 19.2%, 6.9%, respectively. The rate of cervical lymph node metastasis for tumors with T1 stage is 13%, T3 is 23.5% and T4 is 16.7%. Conclusion: The high rate of metastases to the cervical lymph node suggests the need for laparoscopic esophagectomy with 3-Field lymphadenectomy for squamous cell carcinoma. However, it is necessary to balance the benefits and risks when applying this technical process

Article Details

Keywords

Esophageal cancer, Transthoracic esophagectomy, Three-Field lymph node dissection

References

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