PHẪU THUẬT NỘI SOI NGỰC BÓC U CƠ THỰC QUẢN LÀNH TÍNH TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: The study aimed to evaluate the results of thoracoscopic surgery to remove benign esophageal leiomyoma at Hanoi Medical University Hospital. Methods: A retrospective descriptive study on 31 patients who were diagnosed with esophageal benign leiomyoma based on medical examination, clinical examination, esophagoscopy, esophageal endoscopic ultrasound and chest computed tomography, treated at the Department of General Surgery, Hanoi Medical University Hospital, during the period from January 2016 to December 2022. Results and discussion: Laparoscopic surgery was used to remove benign esophageal leiomyomas from 31 individuals, with an average age of 49.2 (ranging from 24 to 66 years old). Seven individuals (22.58%) were asymptomatic, while 24 patients (77.42%) exhibited symptoms. In the top third of the thoracic oesophagus, middle third, and lower third, respectively, the rates of tumours were 9.68% (3 patients), 64.52% (20 patients), and 25.8% (8 patients). Average tumor size was 32.32 ± 9.76 mm (20–57 mm). All patients underwent right thoracoscopy. In 12 cases (38.7%), 3 trocarts were utilised; in 19 cases (61.3%), 4 trocarts were used. There were no complications or serious complications during and after surgery. The surgery took, on average, 114.03 ± 29.87 minutes (between 80 and 180 minutes). The typical hospital stay 8.35 ± 3,67 days (4 days-24 days). Conclusions: Thoracoscopic surgery to remove benign esophageal leiomyoma is a safe procedure with high success rate, low risks, and minimal postoperative problems.