BIẾN CHỨNG HÔ HẤP SAU PHẪU THUẬT CẮT THỰC QUẢN NỘI SOI ĐIỀU TRỊ UNG THƯ THỰC QUẢN

Abstract

Pulmonary complications after thoracoscopic esophagectomy for patients with esophageal cancer is common and serious complication and have been correlated with prolonged hospital stays and inhospital mortality. There are many preoperative and intraoperative factors that are predicted to be associated with this complications, but this associations remains unclear. Objective: Describe respiratory complications after esophagectomy and treatment methods, some factors associating with those complications. Materials and methods: descriptive research, retrospective and prospective. 113 patients with definitive diagnosis of esophageal cancer by pathology underwent esophagectomy at 103 Military Hospital from February 2010 to August 2023. Results: The mean age was 54.8 ± 8.6 (32-75). male: 97.3%, female: 2.7%. Respiratory complications: 31 patients (27.4%) of which: pneumonia 11 patients (9.7%); pneumonia + pneumothorax 1 patient (0.9%); pleural effusion 15 patients (13.3%); Pleural empyema 2 patients (1.8%); tracheo-oesophageal fistula in 1 patient (0.9%); pneumothorax in 1 patient (0.9%). Some factors related to respiratory complications after surgery were statistically significant, including preoperative respiratory function, BMI and surgery time. Conclusion: The most common respiratory complications after thoracoscopic esophagectomy for esophageal cancer are pneumonia and pleural effusion. Some factors related to respiratory complications include preoperative respiratory function, BMI and surgery time.