Đang chuẩn bị liên kết để tải về tài liệu:
Evaluation of results of thoracoscopic esophagectomy in treatment of esophageal cancer at Military Hospital 103

Objectives: To evaluate the results of esophagectomy and operative technique of minimally invasive esophagectomy for esophageal cancer at 103 Military Hospital. Subjects and methods: A retrospective, descriptive study combined with a prospective study on 58 patients with esophageal cancer from 1 - 2010 to 8 - 2017. | Journal of military pharmaco-medicine no5-2018 EVALUATION OF RESULTS OF THORACOSCOPIC ESOPHAGECTOMY IN TREATMENT OF ESOPHAGEAL CANCER AT MILITARY HOSPITAL 103 Dang Viet Dung*; Le Thanh Son*; Nguyen Van Tiep* Nguyen Trong Hoe**; Ho Chi Thanh*; Nguyen Trung Kien* SUMMARY Objectives: To evaluate the results of esophagectomy and operative technique of minimally invasive esophagectomy for esophageal cancer at 103 Military Hospital. Subjects and methods: A retrospective, descriptive study combined with a prospective study on 58 patients with esophageal cancer from 1 - 2010 to 8 - 2017. Results: Mean age was 51.89 ± 8.92 (32 - 74), male/female ratio was 13.5/1. Mean operation time was 325.44 ± 66.50 minutes, thoracic step time was 138.44 ± 41.31 minutes, mean blood loss volume during the entire operation was 159.79 ± 55.25 mL. Laparoscopic surgery accounted for 74.1%. Surgical complications: 2 cases (3.4%) had left visceral pleura rupture, 1 case (1.7%) had thoracic duct injury. Mean ventilation time was 18.8 ± 12.8 hours, thoracic drainage time was 6.3 ± 3.0 days, first flatus time was 4.4 ± 1.8 days. Postoperative complications: Operative mortality was 1.7%, respiratory complication was 24.1%, neck anastomosis leakage was 15.5%, raucous was 6.8%, tracheal leakage was 1.7%. Mean postoperative hospitalization time was 18.2 ± 7.6 days (8 - 46). Conclusion: Laparoscopic surgery for esophageal cancer is a difficult surgery, early postoperative results were encouraging and should continue monitoring to evaluate the long-term outcomes. * Keywords: Esophageal cancer; Thoracoscopic esophagectomy. INTRODUCTION Esophageal cancer (EsC) surgery is a severe major surgery, both in technique and anesthesia. EsC radical surgeons used combined incisions. The reasons may due to be long operating time (often lasts 5 - 8 hours), prolonged atelectasis during operation, muscle chest injuries. The other important reasons are that almost EsC patients are elderly, having other diseases, .