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SHORT-TERM OUTCOMES OF MINIMALLY INVASIVE ESOPHAGECTOMY WITH THREE FIELD LYMPH NODE DISSECTION IN TREATMENT OF ESOPHAGEAL CARCINOMA
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Abstract
Objectives: To assess the short-term outcomes of minimally invasive esophagectomy with three-field lymph node dissection in treatment of esophageal carcinoma at Hanoi Medical University Hospital. Methods: Retrospective descriptive study on 20 patients with esophageal squamous carcinoma undergoing minimally invasive esophagectomy with three field lymph node dissection. Results and discussion: The mean age was 59.75 ± 6.96. 100% was male. Tumor location: middle third 45%, lower third 55%. Staging: Among patients without neoadjuvant chemotherapy, 80% were at IB stage. Among patients on neoadjuvant chemotherapy, 40% were at stage I. Mean number of lymph nodes collected was 70,80±17,83. Patients with middle third esophageal cancer had a rate of cervical lymph node metastasis of 11,1% Middle third tumor patient group had higher rate of metastasis to thoracic lymph nodes, while lower third group had higher rate of abdominal lymph nodes. Complications were seen in 45% cases, with recurrent laryngeal nerve injury was the most common (35%), with all the injured nerve on the left, respiratory complications were witnessed in 25% cases. No intraoperative and postoperative mortality has been notified. Conclusion: Minimally invasive esophagectomy with three-field lymph node dissection is feasible in treatment of esophageal carcinoma. However, since the morbidity rate was high, the technique should only be performed in high-volume center, by experienced surgeons. More studies should be conducted with more patients and longer follow-up period to assess postoperative quality of life from this technique.
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Keywords
Esophageal cancer, three-field lymph node dissection
References
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