tailieunhanh - 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 ± (32 - 74), male/female ratio was . Mean operation time was ± minutes, thoracic step time was ± minutes, mean blood loss volume during the entire operation was ± mL. Laparoscopic surgery accounted for . Surgical complications: 2 cases () had left visceral pleura rupture, 1 case () had thoracic duct injury. Mean ventilation time was ± hours, thoracic drainage time was ± days, first flatus time was ± days. Postoperative complications: Operative mortality was , respiratory complication was , neck anastomosis leakage was , raucous was , tracheal leakage was . Mean postoperative hospitalization time was ± 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, .